Doctor's seem to spend some language in their notes on their own CYA. As far as the LVI, my oncologist and surgeon hardly mentioned it, and even the second opinion MO didn't point it out except to say that it was a negative.
However, given my concern I chose to have radiation after lumpectomy, which the literature said is more effective than hormone blocking if you had to chose one or the other. I am taking anastrozole every other day but am considering stopping after 2 years, which will be in September. My OncoDX was an 8 so my recurrence risk may be low, but in the end it is a bit of a crap shoot. We just have to make our best choices in lifestyle and medical treatment. Sorry to hear that you have had to experience this awful disease again. Fortunately, and kudos to you, you found it early enough to halt its progression. Thank you for sharing your story. Be well.