5 year recheck at Oncology - Next Steps
I just had my last oncology appt (hopefully)!
It was a five year recheck, I had stage 2 ER+ HER- breast cancer diagnosed and treated at Mayo Rochester starting in 2018. Lumpectomy, few positive lymph nodes removed, chemo and radiation. AI before and after treatment. A Oncotype DX score was not done. When I asked about DX score years ago, provider said Oncotype DX test is used to determine benefit of chemo, and because my cancer had already spread to lymph nodes, the treatment plan should include chemo and Oncotype score would not change treatment plan.
Stopped AI in 2020 due to side effects after discussion with oncologist about risk. Per provider, my reoccurrence rate is around 15-20% without AIs. I am currently 68.
Like many patients, I asked what now?
Here is suggested plan:
– I will continue my survivorship care under the care of my primary care provider.
– Continue to do self-exams, I know my body and know what is normal and when there is a change.
– Screening with a mammograms and MRI (due to dense breast) every year. I have been obtaining mammograms and MRIs alternating every 6 months, and he said that would be reasonable approach.
– If any new concern, my primary can reach out to oncology team.
A friend asked if I felt abandoned, I said ABSOLUTELY NOT. As long as I get imaging, that is most important. My primary can order imaging and discuss results.
Breast cancer reoccurrence will always be a concern, but fingers crossed, no more need for oncology.