Use of Oncotype

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lola12
lola12 Member Posts: 127
edited June 2014 in Stage I Breast Cancer

Does anyones oncologist NOT use oncotype dx in determining chemo. I have stage 1, node negetive but multifocal .3mm, .6mm and 1.7cm mostly lobular, little ductal. My local doc said chemo no matter what the oncotypes says and my doc in NYC says if oncotype is low, chemo will not respond and is not needed.

Do most doctors use oncotype? One doc said that lobular is usually low oncotype because it responds better to hormone therapy.

Any experience with this?

THanks,
Lola

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  • doingbetter
    doingbetter Member Posts: 117
    edited October 2010

    I consulted with a few oncologists after my diagnosis (all in NYC, but different hospitals) and one did say he would do chemo no matter what, even though sentinel node was negative.  He didn't believe in the Oncotype test and said if it was up to him, he wouldn't even order it. The others all went by the test, which thankfully was low.

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  • hmm
    hmm Member Posts: 2,183
    edited October 2010

    Lola,

    I go to MD Anderson and providing you meet the criteria is seems to be standard to offer the Oncotype test.

    Wishing you the best,

    Pat

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  • YramAL
    YramAL Member Posts: 1,651
    edited October 2010

    I went to 2 different oncologists after my cancer diagnosis and the first one did not believe in the validity of the oncotype test but said she would order it anyways if I wanted it. The second oncologist was a firm believer in the value of the oncotype test. I went with the second doctor. I figured if I was going to put my faith in the oncotype test, I should go with a doctor that believes in it as well. Got an oncotype score of 11, so...no chemo for me.

    Mary 

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  • FireKracker
    FireKracker Member Posts: 8,046
    edited October 2010

    i requested the test.getting results on the 27th.i hope i dont have to take chemo.nervous.

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  • QCA
    QCA Member Posts: 1,539
    edited October 2010

    My score was 11 also, Mary, so I didn't have chemo either. My cancer is lobular, Lola, so maybe that had something to do with the score.  I don't know, but my oncologist at first said chemo until the test results came in. Grannydukes, I know the waiting is  hard and I was so nervous also.  I'll be praying for a low, low score for you too.

    Kathy

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  • BarbaraA
    BarbaraA Member Posts: 7,378
    edited October 2010

    Praying for low score for GD and Mary.

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  • Susie123
    Susie123 Member Posts: 804
    edited October 2010

    My onco uses the oncotype. He follows NCCN protocol.

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  • jan508
    jan508 Member Posts: 1,330
    edited October 2010

    GD I'm supposed to get my results tomorrow.

    My BS ordered mammoprint but onc cancelled and ordered oncotype.

    Praying for low low scores!!

    Jan

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  • Godlistens
    Godlistens Member Posts: 47
    edited August 2013

    HI. I went for three opinions for both my surgeon and oncologist. All three oncologists said I was eligible to take the Oncotype test. Even my surgeon mentioned it - and this was three years ago. It seems to be standard practice at this point. HOpe this helps.

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  • kira1234
    kira1234 Member Posts: 3,091
    edited October 2010

    My BS wanted me to get the mammoprint, he thinks it's more accurate. My insurance only pays for the oncotype, so I got the oncotype. I've always wondered how the mammoprint one would have owrked out. Oh well, will never know.

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