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What treatment decisions did you make with stage 1, Oncotype 34?

Posted by murph18 @murph18, Feb 13 12:14pm

Hi, I was just wondering has anybody else had stage one, lymph nodes clear, a lumpectomy, three of three fast growing, and an oncatype of 34.? I am opting not to do chemo but just radiation and the hormone pill.

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prarysky | @prarysky | Feb 22 12:02pm
In reply to @vegada "@jmab I totally agree it is just one piece of the puzzle. The RSCLIN model published..." + (show)
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@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.

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@vegada
Although I've already had chemotherapy and the Oncotype DX, I'd be curious to see the more detailed findings from the RSCLIN model you mention. It appears to be something my doctor would have to use rather than something available online to me. Does that sound correct?

Thank you for mentioning this resource which could be helpful when choosing treatment.

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vegada | @vegada | Feb 22 4:07pm
In reply to @prarysky "@vegada Although I've already had chemotherapy and the Oncotype DX, I'd be curious to see the..." + (show)
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@vegada
Although I've already had chemotherapy and the Oncotype DX, I'd be curious to see the more detailed findings from the RSCLIN model you mention. It appears to be something my doctor would have to use rather than something available online to me. Does that sound correct?

Thank you for mentioning this resource which could be helpful when choosing treatment.

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@prarysky correct. Your doctor’s office can run the model in a few seconds. It’s super simple and accessible to them.

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prarysky | @prarysky | Feb 22 5:22pm
In reply to @vegada "@prarysky correct. Your doctor’s office can run the model in a few seconds. It’s super simple..." + (show)
Profile picture for vegada @vegada

@prarysky correct. Your doctor’s office can run the model in a few seconds. It’s super simple and accessible to them.

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@vegada Thanks! I'll ask at my next visit. :-).

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Arvind Natarajan | @malebreastcancer47 | Feb 24 8:40am
In reply to @jmab "@malebreastcancer47 I'm also taking 10 mg Tamoxifen, just started Jan. 1st this year. I'm doing ok..." + (show)
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@malebreastcancer47 I'm also taking 10 mg Tamoxifen, just started Jan. 1st this year. I'm doing ok but I've noticed a slight weight gain (unusual for me), so I'm working to get a few extra pounds off. I've heard others say that they gained weight while on Tamoxifen. I'm curious what side effects, if any, you've experienced?

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@jmab
In addition to Tamoxifen, I am also diabetic, take Mounjaro, a statin.
The side effects from Tamoxifen are mostly menopause related as Tamoxifen blocks estrogen.
Irritability, brain fog, fatigue, drowsiness, loss of libido.
I started on 20 mg but after a year, asked Mayo team to please reduce as I could not tolerate quality of life, as I still work.

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