We did meet with the oncologist who reviewed fully every item on my pathology report. We discussed the all clear with a bilateral mastectomy and low possibility of recurrence and additional treatment. She did not think letrozole prior to surgery would affect the results. With a mid-range score of 28, we decided that chemo was not an option at my age. She ordered a mammaprint test to get more clarification but we are still waiting for the results. Because I will be more than 120 days from diagnosis, chemo benefits may be reduced anyway. That’s a consideration for anyone who is delayed for treatment. The process is now in place with mastectomy completed and an AI for 5 years with regular monitoring. We hope that is a good ending to my health story.