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@vegada My first oncologist declined to order the oncotype test because she didn't think it was necessary, but my current oncologist ordered it. I guess it's a useful tool but again, it's just 1 piece of the puzzle. It's interesting that the oncotype score does not take into account tumor size, for example. Considering it's a $5K test, I can understand why some doctors don't use it.

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Replies to "@vegada My first oncologist declined to order the oncotype test because she didn't think it was..."

@jmab I totally agree it is just one piece of the puzzle. The RSCLIN model published by Exact Sciences(same company that does Oncotype) allows you to input tumor size, grade of tumor, planned treatment(like AI) and age at diagnosis. When you include those additional prognostic factors along with your Oncotype score, then you get a more complete picture.