Jul 21, 2018 12:47PM Georgia1 wrote:
Hi there Viewfinder and welcome. I'm not going to say anything particularly original here but I hope I can help your thought process.
It is your choice entirely, and yes, radiation for women over 70 can be skipped. Here's another article to discuss with your doctor, in addition to the one you mention:
As for chemo, it depends on a variety of factors, and an Oncotype DX test on your tissue sample would be helpful. For example, are you healthy enough that you expect to live another 20 years? Is your breast cancer ER positive? HER positive? In general, if your Oncotype DX score is less than 26 you're ok skipping chemo, and you can ask your surgeon to order the test now. Details here:
As for Tamoxifen or an AI, there is evidence that just two years on Tamoxifen can reduce recurrence rates + strengthen bones. So if you are strongly ER positive, trying that is something to consider, although the study focused on pre-menopausal women:
I hope that helps a bit as you start to think through next steps. Everything comes with risks and benefits, so finding an oncologist who is open to real give-and-take conversations is my best advice to you. And best wishes!