Standard of Care? Treatment Options?

ShetlandPony

bdgirl, with premenopausal bc and that family history, they need to offer you a broader genetic panel, not just BRCA. I think you should see a cancer genetics counselor. There could be other cancers to screen for. Also, if they find a genetic mutation, it could help your relatives to assess their own risk.

I agree that you should get Oncotype if you can. Once in a while the results are surprising.

Badluckbdaygirl

ShetlandPony,

Thank you. I finally met my MO a week ago and to my surprise the first thing she said was she was ordering the Oncotype (I was prepared to argue). I have no idea what changed her mind. But, now I wait to start hormonals I’m until it’s back. But, she said she would almost 100% do nothing but Tamoxifen regardless, but it may help with my choice for ovary suppression? The degree to what I do. She wasn’t stressed about the delay in hormone treatment.

I did get 21 genes with the BRCA test. Is that the same thing? All were negative. Any other tests?

Anne, my tumor was essentially the same size (I think you qualify over 5mm). I bet that’s why they are saying no like mine was, but I would push to get the Oncotype done. I don’t know much about radiation because I had a BMX. I would imagine given your age and diagnosis you would have hormonal treatment (I am 46 and Stage 1 so very similar)so you would need an MO to prescribe that.

Thanks ladies! There is too much info out there to digest.

KIDI919

Anne2871-- I have a similar dx except grade 3. Just finished 16 hypofractionated rad tx. As I understand it the rad dose is higher thus the smaller # of tx. Mt tx was facedown because of the cancer being on left side. I do have a medical oncologist but he didn't seem to have anything to do w the radiologist decision on tx. I am 62 so postmenopause. Oncotype 18. Chemo was not recommended unless you count Al as chemo (which I do). I'm still deciding on those. Best of luck with your decisions. It's enough to make one crazy!