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I just got my onco type DX result back. My score is 10! The one twist is, I has a micro spot of cancer in my 1 lymph node. Chemo or no chemo? See my oncologist tomorrow. Any advice?

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anonymous

Learning About Breast Cancer almost 8 years
 
  • Sharon Danielson Profile
    anónimo
    Sobreviviente desde 2007
    I did not have an onco DX and also had a micro amount of cancer in one lymph node. IN MY CASE (this is NOT saying you would have the same thing) it didn't matter what my onco DX would have been as I was slated for chemo due to size of the tumor 2.2cm. There is a lot that goes into treatment plans for each individual woman. Size, grade, stage, age, all factors in. Just as Marianne says.... you oncologist will give you the best advice. If you are still unsure, you can always get a second opinion. My husband and I, and my best friend sat down with the oncologist and went through a computer program for early breast cancer http://www.adjuvantonline.com/index.jsp that is available which shows you odds depending on treatment for your particular cancer. It helped to make a decision much easier. I chose a mastectomy and then had 4 rounds of AC and 5 years of Femara. It gave me the best odds. I thought I was extremely lucky to escape with only 4 rounds of chemo. I was post menopausal and was diagnosed with IDC stage 2-A initially but went to a B when the micro amount of cancer was found in the node. Good luck to you. I am thankful there is much to be done for us facing this scary disease. Take care, and God's blessings, Sharon
    almost 8 years Comment Flag
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    anónimo
    Sobreviviente desde 2012
    Oy, that's a tough one. I've had BC twice, 11 years apart. The first time was a mastectomy and rads, no chemo. The second one, last year, was a mastectomy and chemo. My onco DX was very high so chemo was a no-brainer. However, my nodes were all negative. Your onc will give you the best advice. if you feel at all uncomfortable with that advice, or you want a second pair of eyes, get another opinion. I went for aggressive treatment both times. For example, the first time I was told I could get by with a lumpectomy. I went for the mastectomy. The first time, after the mastectomy, they found the cancer was invasive rather than DCIS. Stage 1B. That's why I had the rads. The second time It ended up not being as bad as they thought, but I didn't care if they went the extra mile. What I can tell you is getting BC twice is very scary. If there was anything that could be done to decrease my hances of a recurrence, I wanted it done -- especially the second time. Best of luck to you!
    almost 8 years Comment Flag
  • Marianne R. Profile
    anónimo
    Sobreviviente desde 2011
    Your onc will give you the best information on your treatment plan. Please remember they want you to live as much as you do. God Bless
    almost 8 years Comment Flag
  • Mary Foti Profile
    anónimo
    Sobreviviente desde 2010
    I had a 1 cm IDC tumor and "isolated tumor cell deposits" on 2 lymph nodes. Nobody seemed all that phased by the lymph node issue. I was freaked out and didn't understand it. I saw 2 oncologists and 2 breast surgeons and everyone agreed I was still stage 1. Apparently the "deposits" were likely the result of multiple lumpectomies (I had 2, followed by a mastectomy). There is a big difference between cancerous nodes and "micro deposits" on the nodes. Anyway, my oncotype score was 13, and both oncologists I consulted told me they would not give me chemo with that score. There is some research now that the oncotype score is a better predictor of recurrence risk than the lymph node issue -- even in cases where the cancer has spread to the nodes. Best wishes to you - I know this is stressful beyond words and a lot of it makes no sense unless you have a medical degree!
    almost 8 years Comment Flag
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    anónimo
    Sobreviviente desde 2012
    The DX number predicts chance of recurrence, not how far the cancer has spread. Node involvement is another ball game. Listen to your oncologist. He's the expert. Jo :-D
    almost 8 years Comment Flag

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