Hi @cctoo —
After my second mastectomy in 2020, my margins and sentinel node were both clear of cancer cells. I definitely wasn’t stage 4. I figure I was stage 1, if that. Once I had my margins and a node were clean, I just didn’t care. I thought I was safe.
In retrospect, I wish I had given Arimidex a chance. However, I had truly horrible hot flashes after chemo in 2005, and I didn’t want to go through that again! By 18 months later, the cancer had metastasized.
I do tend to believe it was fate — or serendipity, as my Mom would have said — that I fell when I did. I had to have kyphoplasty, and a sample that was taken at that time confirmed cancer caused my spinal fracture moreso than the fall I took.
And you know what? I haven’t had a single hot flash in the three months since I started letrozole!
We would never know. I have three friends who didn't take any treatment after the surgeries and they are healthy and good.
One thing that a lot of us don't know is that the stem cancer cells cannot be killed by the chemotherapy, on the contrary the stem cancer cells become more aggressive. When the recurrence is happening it's from those stem cancer cells that originally initiated the Cancer.