Looking for those who chose not to do chemo
Comments
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I'm no expert, and I've yet to get to this point, but for a 3% difference, it would be a no brainer for me...no chemo. I don't like the thought of putting any poison in my body. I've taken care of myself and remained healthy over the years, taking very few prescription medications, and certainly no type of mood or mind altering drugs, no smoking, and little or no alcohol. I would opt to fight hard with nutrition and lifestyle changes.
Do your research about chemo and your type of bc, and also explore natural therapies that will lower the risk of a recurrance. You can then make an informed decision, and don't have to be afraid to challenge the oncologist, if necessary.
I'm only just beginning my journey...my appointment with my bc specialist is tomorrow to see how we proceed.
All the best to you.
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Well...since you asked

I have very similiar stats to you. Age 43, 1.4 cm, IDC, ER+PR+HER2-, clear margins, no nodes, no lymphovascular invasion. Incidentally I tested as "mutation of unknown signifigance" for BRCA 2.
I too opted for BMX. I wanted to try and avoid radiation ~ which I did. My onc was "on the fence" for chemo because of my "young" age, larger than 1cm tumor, and I had a high Ki67%. We were waiting for the oncotype score to decide. Though I tested "low" with a score of 15..I was on the higher side of low. Since I am very highly ER/PR+ onc said Tamoxifen would be my best "weapon of choice". I agreed.
It would have been a much harder decision if the oncotype had come back intermediate. I had kind of thought in my mind that I would still skip chemo in that case. I would have had to fight my hubby on that one. I'm glad I didn't have to.
I exercise, try to eat healthy, take some supplements recommended by Naturopathic Onc, and of course my Tamoxifen. I'm hoping I stay on the good side of the statistics.
It's a tough decision and I hope you find peace with whatever you decide.
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I turned chemo down for a 6% benefit. My oncotype score was 4. I see you are BRAC1+. I don't know much about this or if it would have changed my decision. I'm not a real big believer in the"natural" "supplement" treatments. I am taking Tamoxifen, never been overweight, eat fairly healthy(but there is really no agreeable definition of this). Since I don't know what caused my BC, I don't know what to change.
it was a hard decision for me. At first my MO wouldn't order the test. Hope your reach a decision soon.
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I turned down chemo as well. My ki67 score was less than 2%, ER+, PR+, HER-. I was grade 1, stage 1, ILC. No nodes. I had one MO who stated that she wanted me to do it due to my age (39 as well) and 2 others that said no. My oncotype was 21. My MO re-ran my path as he thought that the oncotype score didn't go with the stage, grade, type and ki67 score. He agreed with the original path and stated that if I was his baby sister he wouldn't give it to me. That settled it for me, and I chose not do to it. It would have also given me a 3% benefit.
I am taking tamoxifen for 5 years, and most likely will change over to another med for an additional 5.
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I am 42 was just diagnosed in July with IDC grade 2, stage 1 ER/PR+ HER2- 0 lymph involvement. I had a double mastectomy on September 7th, 2011. My BRAC1 and 2 came back negative and my Oncotype score was 9. I was told by my Oncologist that chemo would in all likely hood not benefit me. I am taking tamoxifen and swtiched my diet over to vegan when I was diagnosed. Doing the whole alkaline diet. Not sure if you've heard of that, all though I am pretty sure anyone diagnosed with cancer has heard of it. If you haven't heard of that run out and buy crazy sexy cancer. Very funny book and then she has a book called Crazy Sexy Cancer Diet. Pretty much though you can google Alkaline diet to get an idea about it. There is a lot of merit to it. Some of the oral dose chemo drugs do just what that diet does, creat an alakaline environment in your body so that cancer cannot survive. Anyway, sorry if it seemed like I got on my soap box for a second. I was a little scared not doing the chemo because I had mentally prepared myself for it so I did my own research and this makes me feel like I have some control.
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I am 42 and diagnosed with triple negative IDC grade 2 stage 1a (tumor 3 mm.). My onco did not recommend chemo even though I am triple negative. I have a risk of 1-2% distal metastasis. Can't say that I don't worry about that slim chance (don't we all worry after BC?) but can say that I feel very comfortable with my decision. I am concentrating on staving off a local recurrence right now. I finished rads at the end of May and have my first mammo in 2 weeks. Wish me luck! I thiink everyone should know their personal risk in order to e an informed decision IMHO...
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I have similar stats...oncotype was 17. I did opt for chemo though. Main reasons I chose chemo were: one med onc said no to chemo and one said I should consider it. I had lymphavascular invasion present in my tumor indicating there was potential pathway established for cells to travel by blood. I was 45 with a 4 year old son. I also had BMX. It was a hard decision but I am glad I did it. I had 4 rounds of TC and used cold caps to keep my hair. I am 5 months post chemo and doing great.
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Thanks so much to everyone who responded. In Sept., My oncologist went over the pro's and con's with me. I was told to take some time to think about it and give her my decision at our next appt. I called my surgeon, who I really like and respect, to ask her if she had an opinion. She decided to discuss my case at an upcoming conference and would let me know the outcome. Talking on the phone with her after the conference, she stressed that the concensus was emotionally based on me going through with the chemo. That because I was so young, emotionally they would be compelled to tell me to do it. Also during this time, I have been doing my own research and agree that a commitment to lifestyle changes like a healthy diet (no pesticides/ grass fed/ largely alkaline), regular exercise and really boosting the immune system can have a major impact, if not mean more in the long run than the chemotherapy.
While my gut and my logic are telling me chemo is not the right choice for me, it is such a big decision! It's comforting to know that there are others out there in similar situations that have made the same decision I myself am about to make- my appointment is on Friday. Thanks for the book tip Mrs Sudz! I will look at any and all information I can find. And thanks so much to everyone for responding and sharing- it means a great deal to me.
The very best of luck to all of us!
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Nicole,
Just take your time and you will decide the right thing for you personally. For me one more thing that made my decision clear was that I had always been an exerciser and I ate healthy. I do not carry extra body weight at all and I am a fitness instructor. I still got BC doing all I did to be healthy for years. I have also made a more intense committment to my health after diagnosis. I have removed my major stress (job), eliminated processed foods/hormones/BPA etc...from my diet. I have been trying to follow the Anti Cancer book's recommendations. I also have removed chemicals from my make up and body care products. I am changing cookware soon too. I don't know if any of this will make a difference or not, but I am going to try. I am glad to hear you are also making necessary changes. I hope you come to a peaceful decision and move one and get through the next phase - whatever it is. Best of luck!
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Naturally,
I know just how you feel about chemo. For my Stage 1, 1.7 (Est/Prog+ lobular no node involvement) I chose just to have lumpectomy and radiation and hormone therapy. I was told chemo would give me 1, maybe 2%, no guarantees. Docs were pushing it, but I just couldn't do it.I wasn't convinced it was necessary in my case, and I was worried about long term side effects.(And I know for many patients in different situations, it's plusses outweigh its minuses)
6.5 yrs later I have DCIS w/ suspicious microinvasion in same breast. 2 surgeons say its a new primary- which I believe would mean chemo wouldn't have mattered. 1 said it was a recurrence, which mean it would have??? I don't have regrets.
Now I'm having the Mx.
I respect everyone's decision. Best wishes with yours!
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I can understand how a young woman with bc would go through all of the emotions and struggles when making a decision on whether to do chemo or not. As for me, I am 71 years old, and if my dx is one that involves chemo, I already know my answer will be no. I can't live with putting poison in my body, particularly at my age. I am very healthy and have had very few sick days in my entire life. I would not be able to tolerate the SE's of chemo destroying my quality of life to buy a few more years in this world. I will fight with everything I have from the standpoint of nutrition, exercise, and whatever else it takes in the way of natural therapies, but chemo....NEVER! I've lived a great life, raised my children, seen my grandchildren, and even one great grandchild. If it's my time, I'll enjoy what I have left, and embrace what comes after.
It's a personal choice in the end, that only the individual can make.
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Hi Naturally, I was 45 at my first dx. I had a LS mastectomy, ER/PR+Her2- 0/25 nodes. My BC was considered stage II, because of the tumor size. I had chemo A/C followed with 2 years of tamoxifen. I was fine for 8.5 years. The cancer came back, first locally, then to lung, bones, and some other thoracic areas.
Why am I telling you all this? Well, I believe, had I not gone on chemo the cancer would probably have come back earlier. I enjoyed 8.5 yrs with NED. The chemo (only 3 months) was much easier for me to take than the hormone tx with tamoxifen. The SE from the tamoxifen caused me to quit after 2 years, 3 yrs before the recommended time.
Your treatment plan is a very personal decision. I just wanted to let you know, I never regretted that I went on chemo.Good luck and hugs,
Helmie -
Well, I had my oncology appt. and feel pretty good about my decision. I am going to take Tamoxifen for 5 years; had blood work to test for ovarian cancer and going to have a transvaginal ultrasound. It will be interesting to see the results of the TailorX trials when they come out.
During the conversation with my oncologist, I asked what my follow care would consist of-any tests? screening?...she said unfortunately basically nothing until symptoms arise. The point of me asking this was for the possiblity of detecting a metastasis early. She explained that early detection doesn't matter when talking about a metastasis...prognosis is the same whether it comes back with two lesions or five. That's kind of a downer.
Helmie, to say that I'm sorry to hear of your current battle seems completely inadequate. I am glad you decided to share your story with me. I have been thinking about you on and off since I read your post. I suppose the only absolute truth any of us has is that a recurrence can happen with or without chemotherapy once "the beast" has been unleashed in our system. How to keep it from taking over is that elusive key we wish we had.
I'm not saying I'm not fearful, but I will continue to hope for the best for all of us!
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naturally: If you are comfortable with the decision you have made, then it was the right one. I wish you all the best!
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Thanks Kaara. I wish you the best also!
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Similar diagnosis, I chose the most aggressive treatment, mastectomy and chemo, I am glad of my decision, I was your age, I saw children became adults, finish college, became a grandmother.
No regrets.
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I encourage you to pass on chemo, based on your specific diagnosis and pathology.
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I have been dx for the fourth time with breast cancer, but this time idc, her2+++ and estrogen at 96% and progestrone at 32% positive. The surgeon suggested tamoxifen, chemo and herpectin.
This is the third dx on the right breast, three strikes and it's out. In the near future I'll have a mx with reconstruction on the infected breast. At the moment, unless there is evidence the cancer has spread beyond the breast I am not doing chemo or herpectin. I am hoping by removing the cancer that it is no longer in me. I can't wrap my head around brutal therapies for preventive treatments.
Last March I was dx with invasive ductal mucinious breast cancer on the left breast. Radiation was suggested by the doctor. Again, I chose to forgo because it is such a slow growing tumor that rarely goes beyond the breast.
I am comfortable with my choices. I know the latest dx is the toughest, but again, I can't do treatment for preventive measures....but if it is more I will have to wrestle with tougher choices. Whatever you choose there is risk...you have to decide what risk factors you want to live with.
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"She explained that early detection doesn't matter when talking about a metastasis...prognosis is the same whether it comes back with two lesions or five. That's kind of a downer."
Nicole, yes, it is a downer- a downer that they won't do follow up scans until one has symptoms. Knowing what I know now, I wouldn't be satisfied with this even though it's standard protocol, and even if I had to pay for it myself.
My cancer came back to my bones, and I discovered it 4 1/2 years after my original cancer because one of my vertebra in my spine had been destroyed by the cancer, causing numbness and neuropathy to the point of immobility. Had I been scanned at 2 or 3 years, the cancer would have been discovered earlier, and I would have been on treatments for bone mets at that point, and my T3 vertebra would most likely have been spared. I don't agree with the docs when they say that the "prognosis is the same no matter when it's discovered." The quality of life is certainly NOT the same if you find out late in the game.For anyone with breast cancer, I suggest that you insist on a scan 2 years out, 4 years out, and every few years after that. You can prolong your qualitly of life if you move into treatment mode sooner. Of course you can! If that weren't the case, they wouldn't be treating mets at all, would they?
Anyway, sorry for the rant, but it makes me angry that docs are giving patients the message that it doesn't matter when they find the mets- the same one I was given.
Btw, I had a low oncotype score in spite of my grade 2-3 tumor. Since I was older, and my tumor was small, node negative and ER+, my onc recommended against chemo, saying it would not help me much. He may have been right- it might not have made any difference. But I do think I would have been much better off to know about my mets a year ago rather than waiting until they destroyed parts of my spine to start treatments.
The treatments have helped a lot, so far. I'm walking again, but I'm very lucky that my nerves grew back after they had been squashed. It didn't have to be that way.
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Sandilee,
Thanks for posting...I keep checking back in for new information. I have already thought that if I have to pay for it myself I am going to be a little more pro-active than just letting it go. I don't mean to suggest that I want to get scanned all the time, but I have wondered about how much harm it would do to be scanned after a few years even if I'm not experiencing any symptoms.
I am a little surprised that outside of chemotherapy and tamoxifen, my oncologist did not discuss other adjustments to my lifestyle that couldn't hurt and may help (especially since I declined the chemo). I don't understand why treatment begins and ends with chemo. I understand that chemo has saved lives, but what about every other day of my life? And what in my internal chemistry allowed the cancer to grow in the first place?
I am not a doctor, but I do think that it can make a difference if you detect it early.
Don't give up...I'm not going to...
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Btw, has anyone heard of ip6 and inositol? Supposed to enhance immune system (help Natural Killer cells). They have found that it even helps patients while going through chemotherapy. Phytopharmica makes a "cellular Forte Max x3". Just thought I would throw that out there....
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Stephen Jobs could comment if his cancer was 'breast' and if he was still alive. I personally think (from what I've read and researched) that aggressive as possible treatment early in the game is the way to go.There is a natural, alternative medicine forum with women who are doing quite well with their decisions to go naturally.
you so WANT to kill the cancer, with no chance of it rearing it's ugly head again any time soon.
if you do decide to go O-natural, get in touch with your body. check your nodes all thruout often, and be away of any unusual pains or changes in bodily function. again, that natural forum is pretty helpful. I read there all the time.
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From what I have researched and listened to, including the health forum last week that became so controversial on this site, there are many options for treatment, but whatever you choose, nutrition and lifestyle changes should be a priority. Increased levels of Vitamin D for the immune system and anything else that boosts immunity fighting cells is the first line of defense.
apple: I think if Steve Jobs could have a "do over" he would have gotten his surgery right at the time of diagnosis instead of waiting a year. Even the most militant alternative gurus suggest that if you have a tumor that can be surgically removed....DO IT!
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My oncologist did not provide a choice about chemo, said he didn't recommend it since I am 71 years of age! That's the first time the "A" word has been used regarding my health care. I am in excellent health, heart is great (I'm told). My oncotype score is 11.
Arimidex/Anastrozole was prescribed and that was the only recommendation.
I am going to seek a second opinion.
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pj88: That is good news to my ears...I am 71 as well, and depending on by final dx, I was dreading the fight with my doctor about chemo, because I would never take it. Did the doctor happen to say why he would not recommend it? Was it purely age related?
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It seems that it was totally based on age, said he does not recommend chemo for people over 70 because of side effects.
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pj88: Thanks for the prompt answer...I did not know that, and now it is one less thing that I have to worry about.
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Chemotherapy was not recommended for me and while my oncotype was 28 the report said chemo would be of no help to me. I was 62 at diagnosis but my doctor assured me that my age had nothing to do with his recommendation. He said the slow growth nature of my tumor ( low mitosis score) made chemo not effective against it. And my high ER+ score made me a better candidate for estrogen suppression. I was glad to be excused from chemo!
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Morning gals...Pj123... My stats are the same as yours....except I am about 10 years older than you. I had an Onco score of 19, and my first Oncologist wondered why I didn't have Chemo! I told him I was too afraid of the side effects, and after the results came back, he thought it wasn't necessary, BUT he just wanted to throw the book at any cancer I think!
I changed Oncologists....Took Tamoxifen for 14 months and went deaf. Overnight, I lost 100% hearing in my left ear, and just 50% in my right. For SOME reason, it happened to me, maybe because of my age, or maybe not. The "new" Oncologist was baffled, & just wanted to put me on Femara....But I said no, and never went back. I'm just seeing my PCP now, and she is taking over my "after-care"....
There are several other women on this forum that have also lost their hearing...and I think it has a lot to do with Tamoxifen is a chemo drug, and we all know what happens to any hair we have, even the little nerves/hairs in our ears.... Hearing aids make me able to hear, so I am thankful for that....
But I do know that so many women are on Tamoxifen, and I also believe that it helps them.... just not me. I WISH I could do more to re-assure myself that I'm doing everything I can to keep cancer from coming back....
I also take Dim-plus, Grapefruit extract, CoQ10, Grapeseed extract, Glucosamine, Turmeric, and Vit. D3, Fish Oil with Omega 3, and SeaKelp.
I'm just too afraid to take any of the other drugs, which would be much simpler than rattling around with 3,000 pills everyday!
But it's a choice I'm getting used to now. And so far, I'm almost 2 years out, & doing great!
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