MO with 2 different opinions about chemo

skv0123

My local MO ordered the EndoPredict which shows overall risk 3.2 which of course is right in the middle of the 1-6 scale although the test considers me "low risk." It shows 8.9% chance of distant recurrence 0-10 years, 2.7% benefit of chemo at 10 yrs & 7% risk late distant recurrence at 5-15 years.

I had a BMX July 3, 2019. I had 2.7 cm tumor of ILC with pleumorphic features, 0 of 3 nodes involved. Left breast was had no evidence of cancer but metaplasia, fibroid disease etc. I am currently on Tamoxifen for 3 mths as I take this all in & slow down a little per 2nd oncologist who does not recommend chemo. Planning to do ovarian suppression with AI in 3 mths.

Local oncologist got results & called me to discuss after I got 2nd opinion. I shared 2nd opinion ain’t her & shesaid they would "give me chemo if "I wanted it" due to my age & my being at the "high end" of low risk. Second opinion at a larger hospital with cancer center said they would not encourage chemo due to benefit vs risk. Second oncologist specializes in breast cancer, local one treats it a lot . I feel so confused.

UGH

Thanks for listening and any thoughts? What is different between EndoPredict & Oncotype