Best Of
Re: Starting Chemo June 2025? Let's support each other here!
So nice to meet you Linda @iambecoming ! Chemo went well but starting to feel a little drowsy and fatigued with a touch of nausea. Yay! haha How are you feeling?
Re: Birads 5 with calcification
@lisat8228 Happy to be one of your girls!
As for fatigue, I’m sure you are physically and emotionally exhausted but you will find a way to take it all in with wearing yourself down. Everyone who’s been here knows that there will be likely be more fatigue from chemo but steroids are your friend. I did my 1st 5k on chemo thank to steroids.
Re: Diagnosed 1 mnth+ ago, deciding on treatment
Hi @mollybocil, Sorry that you have to join us here. The information provided by the oncotype is based on statistics which looks at the rate of recurrence for a large population. It can't predict what will happen to you but gives an indication of the likelihood. It is reported in percentages which makes imagining a room of 100 women an easy way of understanding the data. In your case 3 people in the room would have a recurrence in 9 years. There would be no way of knowing if you would be one of the three. I like to look at it backwards and say that 97 of the women in the room would not have a recurence since it is a more positive interpretation of the data. The confidence interval is a statistical measure of the range of values used to calculate a population mean (average). 1 - 7 % tells you that the recurrence number could actually be anywere between 1 to 7 people if your particular room of 100 people were followed for your lifetimes.
Since you had a mastectomy and no nodal involvement there is no benefit for radiation. Both radiation and chemo are toxic to kill the cancer cells but can cause lasting side effects like neuropathy. These treatments are only done when the benefit outweighs those risks. As someone with permanent radiation side effects I can attest to that.
Statistically (not an assurance for you) aromatase inhibitors reduce the risk of recurrence by 50% while tamoxifen reduces it by 40%. For a recurrence percentage of 6% AIs would make the risk of recurrence 3% while tamoxifen would make it 3.6%, not much of a difference. I personally can't attest to ovary supperession/removal but from what I have read on this site it can be difficult to live with. You can read up on that by using the search bar at the top of the page.
Positive lifestyle changes or continuing your healthy lifestyle can also reduce the risk of recurrence by 50%. A healthy diet, aiming for a normal BMI, avoiding alcohol and exercising at least 150 minutes a week are recommended to get this benefit.
Unfortunately there is no guarantee that the cancer will not recur but your numbers make it unlikely. I hope your appointment with your onco goes well.
