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Nov 8, 2008 09:12PM
Sorry you had to join us, but you're right that there are a bunch of knowledgeable ladies here to help. Don't know if I'm one of them, LOL, but I'll give you my thoughts, FWIW. I think the Oncotype score will determine a lot, as will your age. If you score is low, your stage and grade are low and given that there was such a small amount of IDC, you should be able to skip chemo. OTOH, if for some reason your oncotype score is in the intermediate or higher range, and you happen to be pre-menopausal, you may have a recommendation to go through several rounds.
In my case, I had 2 areas of IDC, one 8 mm and one 5 mm, as well as 8 mm of DCIS. Had a lumpectomy at first, but had bad margins,so ended up with a mast and recon. Just finished my 4th and last round of chemo. My oncotype was in the lower range (14), but I was also just 35 years old at diagnosis. With all this info, I sought the advice of 2 different oncos, one in private practice and one at a research hospital. They both recommended the chemo for my treatment. A major factor for me was that I had multi-focal, muti-centric tumors and was approx 15 years from natural menopause, according to my family history. They also recommended BRCA testing, which I had done last week.
All this to say that each situation is so different and there are many influential factors that come into play. Wait for your oncotype score (I know---waiting is the worst), then talk to your onco, and even get another opinion if it helps you rest in your decision. I would be inclined to skip chemo in your case, but wouldn't make the decision til I had all my facts.
Dx 5/08, IDC, Left, Stage 1, Grade 1, BRCA 2 pos. Mast. w/TRAM and implant, A/C x 4, Tamox. for 6.5 yrs, ooph and hyst in 2010. Dx. 10/16, local recurrence, Left, Grade 2, breast segmentation, 30 rads from Jan-March 2017, then AIs.
5/14/2008, IDC, Stage I, Grade 1, 0/5 nodes, ER+/PR+, HER2-
10/31/2016, IDC, Left, 1cm, Grade 2, ER+/PR+, HER2-