Radiation or not

Posted by gerarda @gerarda, Nov 23, 2022

Hi,
I’m 77 and had a lumpectomy for invasive ductal carcinoma. ER+, Her2-, 1.4cm.
Oncologist said radiation and tamoxifen,
Tamoxifen because I have mild osteoporosis and it’s less damaging to the bones. She also said that it was reasonable for me to skip RT.
The radiologist said with radiation the chance of recurrence would be 1-2%, without radiation it would be 10%. She also said it would be okay to skip radiation because the overall survival rate is the same, with or without radiation. Has anyone had to make that choice? I would love some input. Thanks.

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@windyshores

My docs go by the Oncotype on this decision, not whether there was an involved lymph node.

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May I your stats and onco score?
If I understand correctly radiation determined by onco scores?

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My understanding is that Oncotype determines if you need chemo, lymph node or not. I believe anything over a 26.

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