New Pathology Results - Does It Matter?
I had a BMX on 10/8/21 with immediate reconstruction. At the time, my primary tumor was 2.5cm, grade 2, ER+ PR- HER2-. They found a 4mm macromets in a sentinel node, no additional nodes taken. Oncotype was 25 and I was only 42 years old, so I did 4 rounds of AC, 12 rounds of Taxol, and 25 sessions of radiation. I'm now on Letrozole after a complete hysterectomy.
My MO felt I might be a candidate for Verzenio, but it was denied by my insurance because the Ki67 from my biopsy was only 15%. So, my MO requested pathology calculate Ki67 on the tumors removed during my BMX. My primary tumor came back at 25%, and the tumor from my lymph node came back at 50%. So, I expect I'll be starting Verzenio once the new results are communicated to my insurance.
Given there was such a change in Ki67 from my biopsy to the BMX, and such a difference between the primary tumor and the metastasis...is there anything else I should be doing or asking my MO? Or have I done it all by now anyways?