Invasive Ductal Carcinoma Stage 2 - Treatment Plan?

I am post menopausal and had a unilateral right side mastectomy last February with 2 stage reconstruction ( saline expander inserted at time of surgery and subsequently exchanged for permanent silicone implant) completed in July.
In Jan. 2022, after a “ normal “ mammo and ultrasound in October 2021 I requested an MRI due to a persistent symptom.

BOOM! I was diagnosed with 2 foci ( 2 tumors) unilateral IDC , stage II ( 2 sentinel nodes positive - 5 above those negative) grade II, both ER/PR + HER2- .

The Oncotype indicated that chemo would NOT be beneficial in my case. I am in month 10 of an Aromatase Inhibitor… also known as “hormone therapy “ which is prescribed to limit estrogen production in post menopausal women. I will be taking this for 5-7 years. Similar estrogen limiting therapy is prescribed for pre menopausal women who need to also shut down ovarian estrogen production.

The ONCOTYPE will inform your health team regarding need for ( benefit of) receiving chemo. Since 2015 70% of women with ER/PR + HER2- breast cancer diagnosis have been spared chemo. It’s possible that a non definitive PR + may exclude the option of the ONCOTYPING ( I don’t know).

That said, I understand that if you begin hormone therapy before typing an ONCOTYPE cannot be applied to the biopsy or surgical tissue; it will have been compromised.

A new trial , TAILOR RT is now looking at the need for ( benefit of) radiation therapy. I believe it’s designed to include 1-3 node positive status. It’s still in trial and not definitive. Worth reading about.

My breast surgeons did not recommend radiation but the radiation oncologist did. That’s why I researched the benefit/risk information and found the TAILOR RT trial . My IDC profile fit that trial parameter. One arm of trial was AI alone ( hormone therapy) the other arm was AI plus standard radiation. I opted out of radiation.

Going forward I will get a yearly mammo for healthy breast alternating with a yearly MRI (for both sides ) at 6 mos. Intervals.

It’s a huge learning curve and I am sorry that you have to go through this challenging journey. For me, information is a huge plus. I hope this information has been helpful to you.

Last week I had my annual MRI the same week as my surgery last year. I am ONE YEAR CANCER FREE!

Blessings in the path. 🌸

I am post menopausal and had a unilateral right side mastectomy last February with 2 stage reconstruction ( saline expander inserted at time of surgery and subsequently exchanged for permanent silicone implant) completed in July.
In Jan. 2022, after a “ normal “ mammo and ultrasound in October 2021 I requested an MRI due to a persistent symptom.

BOOM! I was diagnosed with 2 foci ( 2 tumors) unilateral IDC , stage II ( 2 sentinel nodes positive - 5 above those negative) grade II, both ER/PR + HER2- .

The Oncotype indicated that chemo would NOT be beneficial in my case. I am in month 10 of an Aromatase Inhibitor… also known as “hormone therapy “ which is prescribed to limit estrogen production in post menopausal women. I will be taking this for 5-7 years. Similar estrogen limiting therapy is prescribed for pre menopausal women who need to also shut down ovarian estrogen production.

The ONCOTYPE will inform your health team regarding need for ( benefit of) receiving chemo. Since 2015 70% of women with ER/PR + HER2- breast cancer diagnosis have been spared chemo. It’s possible that a non definitive PR + may exclude the option of the ONCOTYPING ( I don’t know).

That said, I understand that if you begin hormone therapy before typing an ONCOTYPE cannot be applied to the biopsy or surgical tissue; it will have been compromised.

A new trial , TAILOR RT is now looking at the need for ( benefit of) radiation therapy. I believe it’s designed to include 1-3 node positive status. It’s still in trial and not definitive. Worth reading about.

My breast surgeons did not recommend radiation but the radiation oncologist did. That’s why I researched the benefit/risk information and found the TAILOR RT trial . My IDC profile fit that trial parameter. One arm of trial was AI alone ( hormone therapy) the other arm was AI plus standard radiation. I opted out of radiation.

Going forward I will get a yearly mammo for healthy breast alternating with a yearly MRI (for both sides ) at 6 mos. Intervals.

It’s a huge learning curve and I am sorry that you have to go through this challenging journey. For me, information is a huge plus. I hope this information has been helpful to you.

Last week I had my annual MRI the same week as my surgery last year. I am ONE YEAR CANCER FREE!

Blessings in the path. 🌸

Anybody have great pain after lumpectomy & argumentation & lymph dissection
One incision line is draining now
It’s
Been 10
Days and the pain
Is so bad

Anybody have great pain after lumpectomy & argumentation & lymph dissection
One incision line is draining now
It’s
Been 10
Days and the pain
Is so bad

Anybody have great pain after lumpectomy & argumentation & lymph dissection
One incision line is draining now
It’s
Been 10
Days and the pain
Is so bad

I have Stage 2 breast cancer and found out today that I have the Chek 2 gene mutation. Scheduled for lumpectomy in 3 weeks, and wondering if treatment plan should change from this. Anyone else have this situation? If you had this gene, did you change to mastectomy?

Are you ILC or IDC? Is it in situ? Are you HER2 + or minus and have they told you the approximate size of the site?

Send a message to your Breast Surgeon with this question. They should be able to answer this.

I have Stage 2 breast cancer and found out today that I have the Chek 2 gene mutation. Scheduled for lumpectomy in 3 weeks, and wondering if treatment plan should change from this. Anyone else have this situation? If you had this gene, did you change to mastectomy?

Hi @journey99, I was wondering if you made a change to your surgical choice with finding out that you had the Chek2 mutation?