I have the same 1A clear margins and onctype was right on the cusp. I'm 48 perimenopausal, and decided not to move forward with chemo but I did complete 3 weeks of radiation treatment. They now want me to start Lupron and Anastrozole, but may do just tamoxifen. Going to see a new oncologist. I did know I would have to do hormone therapy but I did not know it was as aggressive as these meds are. I'm scared and can't wait to see what other doctor has to say.