Hello! I was diagnosed with stage I or early stage 2 invasive ductal carcinoma., estrogen +, HER2-. Given the option of either lumpectomy with radiation or mastectomy. Chose double mastectomy because the biopsy indicated grade 3 or aggressive cancer + higher Ki-67 score. Don't recall Ki-67 score but think it was between 35-50%. No lymph node involvement. Oncotype DX score was also high - 35. so chemotherapy was recommended along with an aromatase inhibitor and a CDK/inhibitor.

Because of my age (74 when I started treatment) and prior history of afib, my oncologist did not recommend the most aggressive chemotherapy protocol. Prior genetic testing revealed no breast cancer risk, but my mom developed breast cancer in her early 80s. Feel there is probably a genetic predisposition but they haven't identified it yet.

Hope you will hear from others. It's a lot of forks-in-the-road with breast cancer treatment choices. Healing thoughts being sent to you!