Has anyone ever requested to have chemotherapy?

My oncologist did not feel chemo is enough of a benefit for me. He said the oncaDx score was 17 and 19. And called that a low score. He sent it in for a mamma print and that also came back low luminal A. My issue is I have tumors in both breasts, node positive, and extra nodal extension. The Her2 status went from positive +3 to after neoadjuvant hormone therapy to Her2+0 negative. I just need to know there is something systemic attacking those cells that escaped during the biopsies and surgeries.

I requested chemo and my oncologist has agreed to keep me happy. I believe my intuition is right. My second opinion Dr. was recommending chemo as well. My surgeon says he supports my decision.

Now I will request hemaceptin as well because my Her2 status was just reconfirmed as positive and second opinion dr again recommending treatment.

There is nothing wrong with asking for a second opinion, or even a third. We get one chance to get this right.

Good luck, pabbie I hope you get this resolved where you feel comfortable with your treatment

I am concerned again. When 2nd opinions disagree with the original diagnosis and my MO takes this "new" pathology with a grain of salt, is it time to find a new oncologist? He said he will present these findings at a meeting and hope to come to a consensus. He also said about the "grain of salt" value he places on this new finding. He stated there are so many things that don't not match with the University of Michigan 2nd opinion pathology report. U of M sent for all the tissues from both my biopsy and surgery, redid all the staining and completed the IHC as well as FISH and came to the conclusion after a month of studying, that I am Her-2 positive, it is NOT a false positive.

Their result matched the original biopsy result from Henry Ford pathology, but my MO doesn't believe I am Her-2 positive. I believe U of M thinks I have heterogeneous tumors, more than one type of cancer within the tumor.

That seems to be an issue when using genomic testing and my current oncologist swears by genomic testing, my 2nd opinion MO puts no value in those genomic tests, I was intermediate 17 on one breast and 19 for the other. He then did the mammoprint, but he did NOT send in my left breast tissue for the mammoprint. The original biopsy on my right breast was the Her-2+ (IHC) the FISH was originally equivocal +2. The mammoprint came back luminal A and low.

Originally my MO did not support my chemo request, but my 2nd opinion was very adament because of my positive lymph nodes and extra-nodal extension. My MO relented and agreed to TCx4, now he is balking again at treatment of Her2+. Anyone shed some incite into the reason this MO might choose to undertreat me? Is it my age? I am 62 and in very good health. No medical issues except my cancer. I expect to live another 30. My oncologist knows I want to do everything I can to destroy this cancer.

If your MO is taking all the rest results to the "tumor board", I think that's the best possible outcome. The hard part will be waiting again.