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Sep 15, 2016 04:37AM
Sep 15, 2016 04:41AM
"why not wait to see if it rares it's ugly head again and then go for chemo and radiation?"
The hope is that we treat cancer once so it doesn't come back. Because if it does come back it's often a distance or metastatic recurrence (often called Stage IV). At that point chemo often becomes "for life", and radiation may or may not be recommended. Aggressive treatment now is intended to try and keep that metastatic recurrence from happening.
I can see where you might be confused about whether or not to do chemo. An Oncotype score of 17 is at the high end of low risk (0-18), yet you appear to have 5 nodes involved and a Grade 3 tumor (*you say in your post the tumor was 5.7mm but your stats say 5+ cm which is confusing...). It sounds, from your description, to be small but aggressive. I, too, am surprised your surgeon sent the tumor off for Oncotype testing, as it usually only applies to those cancers with 3 or fewer nodes involved. Typically, with more than 3 nodes involved chemo is recommended, regardless of size. What is your oncologist recommending in the way of treatment?
I'm not advocating you choose chemo with an Oncotype score of 17, and I don't feel I can offer my opinion as I'm confused by your stats (size and node invovement). I only wanted to explain the concept of "waiting to do chemo/radiation until it comes back". Make your treatment choices based on the information you have in front of you now, rather than waiting to see if it comes back.
On another note, it would be helpful if you could update your statistics to reflect your current diagnosis, as there appears to be confusion about the size of your tumor and node involvement. Thanks!
"Be happy for this moment. This moment is your life." - Omar Khayyam
11/22/2011, IDC, Left, 1cm, Grade 2, ER+/PR-, HER2- (FISH)
12/5/2011 Lumpectomy: Left; Lymph node removal: Sentinel
1/19/2012 AC + T (Taxol)
6/12/2012 Whole-breast: Breast, Lymph nodes
1/27/2016, IDC, Left, 1cm, Grade 3, 0/4 nodes, ER-/PR-, HER2-
2/15/2016 Lumpectomy; Lymph node removal: Left
3/1/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
7/21/2016 Mastectomy: Left; Reconstruction (left): DIEP flap
1/31/2017, IDC, Stage IV, metastasized to bone