Oncotype & how it's used?

Hi MamaDarrling, It is natural to be worried and to want to do all that you can to prevent a recurrence. Here's the thing, though. Your oncotype score tells you two things. First, your risk of recurrence is very low (if you take tamoxifen) and second, chemotherapy is unlikely to reduce that risk any further. The oncotype is unrelated to the size of the tumor or its stage. It is based on the genetic characteristics of the tumor itself. Keeping in mind that chemo comes with its own risks, the oncotype score is useful because it helps to tell whether the benefits of chemo indeed out weigh the risks of chemo. Having that score come back 6 is a good thing because it gives you information about what treatment is likely to be most effective for you.

Yes! A score of 6 is a really good thing! I came in as a 10, so no chemo for me. I was told by several docs that chemo would not have worked for me. I feel very fortunate in not having to go through that treatment. Chemo is really just meant for aggressive tumors. The Oncoytype determines the molecular characteristics of your particular tumor. I think the Oncotype test is a highly respected tool in just about any doc's arsenal of weaponry in the war against bc these days. They are finding more good news about the test all the time. I think they are even using it to determine whether or not radiation will be effective for some types of cancers.

If your MO isn't communicative, maybe his nurse is willing to help you understand more. Yes, a second opinion (or more) is always a good thing. You should feel comfortable with your team - they are working for you. I'm the type who wants to know everything, so I always ask lots of questions and quite honestly, it's usually the nurse that I spend more time with and who is the most helpful. But if your team isn't willing to help you understand the "whys" of your treatment, it might be time to shop around.

Good luck!!