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May 18, 2009 08:35PM ICanDoThis wrote:
Decisions about chemo are getting more complicated, but, right now, not everyone who has IDC gets chemo. The American Cancer Society Standards calls for chemo for all tumors larger than 1 cm, but many oncs feel that these standards are a little out of date, particularly for low-grade tumors (which is what grade 1 is).
Docs look at a combination of your age, the size of the tumor, the status of your nodes, whether or not you are hormone positive, whether or not your tumor is HER +, etc. Here is a link to the information pages from bc.org that will give you an overview of this:
The most recent technology is the oncotype test, which is likely to be what your first oncologist wants to do - it tests the activity of the tumor cells.
I am post-menopausal, my tumor was very low grade, had wide margins, no nodes and I was very ER/PR positive. My oncologist recommended against chemo without doing an oncotype test - said that the chem was more dangerous than the cancer. Got a second opinion, and was told the same thing. But they both recommended hormone therapy.
Personally, I would feel more comfortable with the first oncologist you spoke with, but you may wish to get a 3rd opinion, since you got two different recommendations.
Good luck. You are going through the toughest part of this whole process,
Sue - Proud to be Krista's MomDx 12/28/2007, IDC, 1cm, Stage I, Grade 1, 0/3 nodes, ER+/PR+, HER2-