whether to have chemo or not ...

maiagrant

please help
i have seen 3 oncologists 2 have told me that i need radiation therapy and then hormone therapy decapeptyl and tamoxifen for five years
the other recommends chemotherapy fac 6 cycles and then radiation therapy and then hormone therapy although she is not pushing  tamoxifen
i will not take tamoxifen because of the risks i am too sacred of another cancer
i am ok with decapeptyl because the side effects are not life threatening
i am pre menopausal  
45 years old
invasive ductal carcinoma
stage 1 (0.9mm)
no node involvement ( 0/1 sentinel node)
g2
er+pgr+ 66%
her2neu negative
only familial cancer was grandmother 84 years old pancreas (diabetic)
grandfather 70 years old lung cancer (probably work related as he worked in foundary god bless him)
no oncotype score they don't test in italy under 1cm
the tumour was removed on the 18th of july with clear margins
i need to make a decision soon
i have 3 small children who need me
any insight would be an enormous help

wishing everyone the very best
thankyou

badger

Edited to redact a post with personal information.

dlb823

maiagrant ~ Even though they don't normally do the Onco-type DX in Italy, is there anyway you could arrange to get one done?   It just seems like that would give you such valuable information to make an informed decision.  It would be a shame to bypass chemo if your Oncotype score were to come back high, even though your stats seem favorable.  On the other hand, it would be equally as bad to do chemo if there's no benefit based on the biology of your tumor.

If your Oncotype-DX score was to come back even borderline midrange, you might decide by asking yourself... If you didn't do chemo and the breast cancer came back, would you kick yourself for not doing it?  But you can't even fairly ask yourself that question when you don't know if there's a possiblity it's risks could outweigh any potential benefit. 

Of the 3 oncologists you've seen, couldn't one of them arrange to have the Oncotype-DX test done for you, especially since your tumor was very close to 1 cm?     Deanna