Help with treatment plan

tropa23
tropa23 Member Posts: 14
edited May 2018 in Stage IV/Metastatic Breast Cancer ONLY

Hello all strong women out there, I’d like to have your opinion about ky treatment plan.

I was diagnosed with Stage IV de novo BC (ER+ PR+ Her2 -) with mets to hip ribs spine and scapula. I took 4 rounds of AC chemo and then 4 rounds of taxotere and my PET showed partial response after both.

My Onc no is considering hormonal therapy, and as I’m Perimenopausal (53 years), he decided that I should take Tamoxifen for 1 year till my menopausal status are confirmed then switch to femara.

I don’t know if that’s correct as all I read was that I should have ovarian suppression with Zoladex and femara right from the start.

Also I’m concerned with changing tamoxifen after 1 year even if it’s still working.

What’s your opinion and should I seek the help of another Onc. ?

Thank you so much ladies.

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  • pajim
    pajim Member Posts: 2,785
    edited May 2018

    Tropa, remember I am not a doctor. But the NCCN guidelines state that if you are ER+ you will benefit more from hormonal therapy than you will from chemotherapy. So yes you should be on hormonal therapy. (Not to mention it's much easier to take than ACT)

    And yes, ovarian suppression is indicated. estrogen fuels your cancer so you want the least amount possible in your body. Current best practice would normally be ovarian suppression and letrozole (Femara) with or without Ibrance.

    May I suggest asking for Bestbird's guide to treatments?

    You don't say where you are from (maybe Ibrance isn't available where you are) but it's possible you need a second opinion.

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