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Topic: What to expect post op but before oncologist appointment

Forum: Surgery - Before, During, and After — Surgical options and helpful tips for recovery and side effects.

Posted on: Nov 11, 2019 11:18PM - edited Nov 11, 2019 11:19PM by margo53

margo53 wrote:

Hi,

So I was told by my breast surgeon that with my IDC, I would only need radiation. What is the role of a medical oncologist in this situation? I have an appointment with the MO next week. When they scheduled my appt they said my genomic test results ( mammaprint) would be in by then. Is this just to totally rule out chemo? I have not had any radiation yet

Thanks for any info

Margo Dx 8/13/2019, IDC, Left, <1cm, Stage IA, Grade 2, 0/5 nodes, ER+/PR-, HER2- Surgery 9/23/2019 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 12/2/2019 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy Breast
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Nov 12, 2019 12:12AM MinusTwo wrote:

An MO most often drives the bus. Hopefully he/she coordinates care between the surgeon, plastic surgeon, radiation oncologist, pharmacy, bone health, PT, etc.

You may not need chemo, but this doc was my most valuable advocate & defender - even though I didn't have chemo the first time around.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Nov 12, 2019 09:37AM gb2115 wrote:

That's awfully bold of your surgeon to assume that you will only need radiation. If your mammaprint comes back as high risk, they'll probably discuss chemo with you. The MO makes that decision. Also the MO decides about hormone therapy. In my case, the surgeon said I would definitely need chemo, and it was the MO that halted that process, sent my tissue out for mammaprint, and then said no chemo and sent me off to radiation. But I still see her every 6 months for tamoxifen follow-up.

Dx IDC in October 2016, stage 2A, 1.2 cm ER/PR+ Her2-, Grade 2, 1/3 nodes. Mammaprint low risk luminal A, Lumpectomy + radiation + tamoxifen. Age 38 at diagnosis.
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Nov 12, 2019 03:25PM - edited Nov 13, 2019 01:36AM by Cowgirl13

This Post was deleted by Cowgirl13.
Be the kind of woman that when your feet hit the floor each morning the Devil says: 'Oh crap! She's up! Dx 5/28/2009, IDC, Left, 2cm, Stage IIA, Grade 3, 0/4 nodes, ER+/PR+, HER2+ Surgery 6/16/2009 Chemotherapy 8/3/2009 Carboplatin (Paraplatin), Taxotere (docetaxel) Radiation Therapy 12/21/2009 Hormonal Therapy 2/23/2010 Arimidex (anastrozole)
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Nov 12, 2019 06:08PM MinusTwo wrote:

margo - So, did you have a lumpectomy or a mastectomy right off the bat?

make an appointment with an oncologist and get one on board your team. I wouldn't necessarily go to first one that this surgeon recommended. Check with your PCP or your OB/Gyn. If you still haven't done radiation, I'd make an appointment and meet with an RO also so you can find one you like.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Nov 12, 2019 06:47PM - edited Nov 13, 2019 12:27AM by margo53

I did have a lumpectomy. Sorry I tried to put that in below but I guess it didn't take. I have an appt next week with the oncologist that I researched and picked. I'm sure my surgeon shouldn't have predicted my future treatment, but they do what they do and I had total confidence in her as a surgeon.... so we will see....thanks for the info

Margo Dx 8/13/2019, IDC, Left, <1cm, Stage IA, Grade 2, 0/5 nodes, ER+/PR-, HER2- Surgery 9/23/2019 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 12/2/2019 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy Breast
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Nov 12, 2019 11:07PM - edited Nov 12, 2019 11:07PM by MinusTwo

With a lumpectomy only, radiation is usually up next. But of course we are all different. Good luck with meeting your MO. Hope it's someone you can talk to/with.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014

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