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HER2- and ER/PR+
I have just been given this diagnoise and am looking for info on treatment
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I have just been given this diagnoise and am looking for info on treatment
Interested in more discussions like this? Go to the Breast Cancer Support Group.
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I’m so sorry you have lost your mother.
Oncologist says the x-ray is "reassuring." But it does not account for the pain, in my view. I am going to do further investigation starting with a PT.
I am having the same issues as nlb122 at Mayo in Phoenix.. I am having to wait almost 4 months to have surgery. I have same numbers as you from my biopsy. My Oncologist put me on letrozole. The doctors say not to worry it's slow growing. From the MRI my nodes look good but Its agony waiting. I'm having a mastectomy on one side with reconstruction and a new implant on the other side.
I had much the same experience so understand the feelings that emerge during the wait time. I had the same profile with surgery eventually almost 3 months after initial testing and final oncology appointment 12 weeks after diagnosis. At that point, I was told that chemo effectiveness can diminish to 75-80% of typical treatment. With an Oncotype score, you will be able to decide if that treatment is necessary anyway. Being 75, right breast mastectomy, no lymph node involvement, oncotype27, no need for radiation and continuation of letrozole, I feel like treatment was as successful as it was going to be. I do think about the aches and pains side effects of the meds and what else it might be, so often feel like I am floating in an unknown abyss of cancer cells just waiting around to cause havoc again. So far, the only follow up testing is a mammogram of the left side 8 months later followed by ultrasound and mri as ordered. Is there anything else that can be done at this stage of the game? I wish you well. Keep moving and doing all that seems natural and hope and pray for the best. It will be fine. Please let me know your path going forward and thanks for connecting. Take care.
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2 ReactionsHow did you use the algorithm?
Hi @janet2, it is not uncommon to have treatment (endocrine therapy and/or chemo therapy) before surgery to help shrink the tumor. This can help ensure "clear margins" for surgery, meaning that they can get the tumor and a significant margin of healthy tissue around the tumor.
How are you doing on letrozole? When will you have your surgery?
There are several of these "predictive" algorithms online. The Tufts one looks at ipsalateral recurrence. The one below is similar. It's not as specific as, say, personal genomic testing bug relies on current data bases so somewhat useful. I had the Oncotype test done and that was reassuring. Not a guarantee against recurrence, but the low score was better news than a high score.
https://cts5-calculator.com/
The Tufts algorithm looks at recurrence risk for ipsilateral cancer. To that extent it's a bit limited. I think all of these algorithms are pretty much the same in that they look at variables for which there are breast cancer data pools including age of first cancer, number of cancer-free lymph nodes, and size of cancer mass. I assume that they also assume that the cancer was surgically or otherwise removed. But here's one of the algorithms online:
https://cts5-calculator.com/
Thank you