Log in to post a reply
Mar 11, 2020 02:05PM
35 is considered young for breast cancer. Not crazy young like 25, but still young enough that is associated with more aggressive cancer *and* doctors might be more likely to recommend more aggressive treatment.
That said, now we have the technology to know with some level of certainty how aggressive any particular cancer is. So they don't have to treat based on general assumptions, but can catch an aggressive cancer in an older patient and vice versa.
I would second to wait for your oncotype. It's not even a pure question of risk/reward of chemo, chemo is actually less effective for certain types of cancers. The science for avoiding chemo in some cases is really sound - between the lower efficacy and the risks of chemo, there is statistical reduction in overall survival.
I would also just say to not be cavalier about the risks. Some women do very well with chemo and some have permanent side effects. I was lucky not to be in a position to have to decide, but I was pretty cavalier about tamoxifen. I've never ever had serious side effect issues from any kind of medication, including hormonal, and I assumed it would be fine. It turned out that my body will not tolerate it. I'm lucky that I had no permanent side effects. But it's just luck.
So I would not see chemo as a 'better safe than sorry' thing. It's really good medicine but only if it's appropriate for your condition.
That said, the waiting and not knowing is excruciating. At the beginning it felt like so much waiting, and always something more to wait for. Hang in there.
Dx at 39. 1.8cm. Oncotype 9.
9/19/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2-
10/17/2018 Lumpectomy; Lymph node removal
11/1/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
12/2/2018 Whole breast: Breast
12/18/2019 Fareston (toremifene)