My surgeon could only advise on how he thought treatment would go post-surgery. He is responsible for getting clean margins around the tumor and checking for any lymph node involvement ( having a blue dye injected the day before so that he can follow it from the tumor to the lymph node/s.)
Based on the initial biopsy diagnosis ( invasive lobular carcinoma stage 1) my surgeon and radiologist predicted radiation and hormone therapy. After surgery with clean margins and no lymph node involvement (the sentinel lymph node was removed and biopsied) the oncologist/hematologist recommended chemotherapy, radiation and hormones. The pathology report on my tumor said INVASIVE CARCINOMA OF NO SPECIAL TYPE (ductal) WITH LOBULAR FEATURES and DUCTAL CARCINOMA IN SITU. I asked for an oncotype test to be done on my tumors, to better understand if chemo will really be necessary. The oncologist orders it and the test is done on the tumor that was removed by the surgeon(no new tests). This test takes about 3 weeks, and I am waiting for my results...impatiently! An oncotype score of 26 or higher warrants chemotherapy due to the chance of cancer recurrence.