Topic: Hormontherapy choices for premenopausal women

Forum: "Middle Age" 40-60(ish) Years Old With Breast Cancer — Meet others in this age-range who share similar life issues.

Posted on: Jun 13, 2018 10:59AM - edited Sep 24, 2018 09:18PM by Walden1

Posted on: Jun 13, 2018 10:59AM - edited Sep 24, 2018 09:18PM by Walden1

Walden1 wrote:

MO has given me a choice between tamoxifen and ovarian suppression injection with AI. I am 44 and was premenopausal before chemo. It's been almost two months post chemo and I haven't had a period yet. MO recommends starting with ovarian suppression + AI because it lowers reoccurance, but noted it doesn't improved overall survival. There are so many positives and negatives to each choice. Not sure now to choose.

Did some reading of credible sources that suggest the OS + AI option is not a significant benefit for all premenopausal women. Might be for some high risk women and not for the others. would love to hear what advice your MO had for hormone therapy, and why they recommend one over the other for a premenopausal women (or someone like me who's status is questionable because they had menopause from chemo).

Dx 12/28/2017, DCIS/IDC, Right, 2cm, Stage IIA, Grade 3, 0/7 nodes, ER+/PR+, HER2- Chemotherapy 1/10/2018 AC + T (Taxol) Surgery 5/2/2018 Mastectomy: Right Hormonal Therapy Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy
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Dec 6, 2018 04:53AM Rhuny wrote:

raysofsunshine07- thank you and I found the lump both times! The recurrence was a tiny knot at the end of my lumpectomy scar. The radiologist said it looked like scar tissue but I insisted on a biopsy so I could sleep! Sure enough, it was a local recurrence. Exact same cancer. So annoying. I immediately opted for a bilateral mastectomy and am so glad. I’m still in the tissue expander stage, but it hasn’t been that difficult of a recovery.

Dx 5/2016, ILC, Right, 2cm, Stage IIA, Grade 1, 0/3 nodes, ER+/PR+, HER2-, Dx 9/2018, LCIS/ILC, Right, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2-, Surgery Lumpectomy: Right; Lymph node removal: Right, Sentinel Surgery Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy 3DCRT: Breast, Lymph nodes Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Dec 6, 2018 04:56AM Rhuny wrote:

bostoniangal25- I take 20mg Tamoxifen. Don’t worry about SE. I exercise 6 days a week and have never had any issues with joint paint or anything crazy. My hair is exactly the same:)

Dx 5/2016, ILC, Right, 2cm, Stage IIA, Grade 1, 0/3 nodes, ER+/PR+, HER2-, Dx 9/2018, LCIS/ILC, Right, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2-, Surgery Lumpectomy: Right; Lymph node removal: Right, Sentinel Surgery Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy 3DCRT: Breast, Lymph nodes Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Dec 10, 2018 12:29PM Bostoniangal25 wrote:

Rhuny, finally I read your post here 😅!!! Thsnks for pm me!!! It was so much clever to insist on biopsy!!!

I hope your s e on xoladex will ease!!!

I m scared now!!! I had a unilateral mastectomy but the hence no one is sleeping chillin or relaxed here we all worried about recurrence..

Dx 5/30/2018, DCIS/IDC, Left, <1cm, Stage IB, Grade 3, 1/3 nodes, ER+/PR+, HER2- Surgery 7/2/2018 Mastectomy: Left; Reconstruction (left): Silicone implant Surgery 7/2/2018 Mastectomy: Left; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Chemotherapy Cytoxan (cyclophosphamide), Taxotere (docetaxel)

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