Diagnosis - What treatments did you have?

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Anonymous
Anonymous Member Posts: 1,376
edited January 2020 in Just Diagnosed
Diagnosis - What treatments did you have?
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  • Willfight35
    Willfight35 Member Posts: 9
    edited January 2020

    Good Evening, received results today, looking to see what possiable treatments could be? Stage 2/Grade 2, Invasive Mammory Carsomina, no lymph nodes, in vasicaloa, ER/PR + , Her2- “but waiting for fish test".

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  • godisone
    godisone Member Posts: 100
    edited January 2020

    Hi dear,

    Since it is stage 2 grade 2 carcinoma the doctor would most probably suggest a surgery for removal of the tumor, which might be followed by chemotherapy and radiation therapy. This is the standard treatment procedure and anything more is there your doctor would let you know. Right now you need to keep healthy by eating balanced diet and including some form of physical activityin your daiky routine to help you heal and cope with the treatment.

    Good luck and God bless.

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  • Moderators
    Moderators Member Posts: 25,912
    edited January 2020

    Willfight35, sorry you got such unwelcome news... but glad you're here! We know you'll find great support and information.

    As well as the helpful information and experiences you'll receive from other members here in the discussion boards, the main Breastcancer.org site's section Breast Cancer 101 is a good place to learn more about treatment options. It is place designed for those newly diagnosed that will help you learn more about what to expect now. We hope this helps!

    Let us know how you're doing!

    The Mods

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  • msphil
    msphil Member Posts: 1,536
    edited January 2020

    hello sweetie I was diagnosed while planning our 2nd marriages found lump in shower. Had my cry decided to fight with faith family my fiance was amazing during that time. Positive thought that I will make it thru Hope also. msphil idc stage2 0/3 nodes 3mo chemo before and after Lmast had reconstruction body rejected the expander it was removed got married then rads 7wks and 5yrs on Tamoxifen. Praise God am a 25yr Survivor. Keep Hope sweetie

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  • Willfight35
    Willfight35 Member Posts: 9
    edited January 2020

    Thank you all for the feedback, currently my doctor has ordered the oncotype test in order to see if I would benefit from chemo or not. My ER/PR are 91-100% so is most likely I wouldn’t, I am praying I will not have to. Waiting a couple more weeks, however don’t mind this wait 😀 Doctor also stated because it is very hormone driven, have a good prognosis...thanking God everyday for taking care of me and all the blessings I am receiving. Next step is to confirm negative margins, then bone scan and oncotype results. Pray all will be more victories!!


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  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited January 2020

    Er/Pr status doesn't reflect oncotype score.

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  • Willfight35
    Willfight35 Member Posts: 9
    edited January 2020

    Hi Alice, I referenced the ER/PR, because in Canada you don’t get approved for the test unless you ER/PR + but HER2-, early stage and nothing in the nodes. Otherwise they will not do the test.

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  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited January 2020

    Ah, that's a bit different than U.S. protocol.

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  • Mouse57
    Mouse57 Member Posts: 51
    edited January 2020

    I had a lumpectomy with clean margins but a sentinel lymph node with microscopic mets. 90% ER+ 98%PR+ HER2- ( undetermined on the first test, the FISH test takes longer but is more accurate from what I understand and it came back negative)

    They did the oncotype which came back with a score of 4 so no chemo and I'm now doing whole breast radiation with lymph node radiation.

    From what I understand the oncotype tests 21 different factors - some raise the score and some lower the score. The ER/PR is just one factor but it lowers the score and I suspect mine might be so low because the ER/PR percents were high (and other factors were low).

    Post menopause so I'll do AI after radiation.

    Here is the treatment flowchart the MO drew for me (before the FISH test came back). Radiation and endocrine therapy is on all branches just not drawn on all. The decision had already been made for lumpectomy rather than mastectomy.

    image

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  • Beesie
    Beesie Member Posts: 12,240
    edited January 2020

    AliceBastable, actually, Willfight is correct. A high ER and a high PR will drive a lower Oncotype score. Here is the Oncotype formula:

    image

    It's interesting to me that PR is actually given more weight than ER. This explains why in the TAILORx study, only 2.9% of patients with PR- cancers had low Oncotype scores, whereas 18.2% of those with PR+ scores and 16.7% of those with ER+ scores had low scores. By comparison, 46.2% of PR- patients had high Oncotype scores, versus 11.1% of PR+ patients and 14.0% of ER+ patients. So ER and PR are significant factors in determining the score.

    As a small aside, healthcare is provincial in Canada, so the guidelines for Oncotype testing vary slightly by province.

    Willfight, here's hoping that you do get a low Oncotype score!

    Edited to Add: Mouse, we were posting at the same time!


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  • Willfight35
    Willfight35 Member Posts: 9
    edited January 2020

    Mouse & Bessie, thank you so much for feedback and all your great details!!! That makes me feel more at ease....you all are fantastic!! Truly praying for a low score...the biggest thing that scares me is chemo!

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  • ChaClarey
    ChaClarey Member Posts: 78
    edited January 2020

    Hi Willfight35

    I am also in Canada and have very similar diagnosis. I was 50 at diagnosis and I had Oncotype done. My recurrence score was 16 so no chemo recommended. I am just finishing radiation today actually :) and then hormonal therapy for 5 years. I was also high estrogen 90-100 and high progesterone 80-90. Hoping you get low score.

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  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited January 2020

    Thanks, Beesie, I hadn't seen that.

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  • Cowgirl13
    Cowgirl13 Member Posts: 1,936
    edited January 2020

    Hi Beesie, how is it that high ER/PR drive a lower oncotype score? Thanks!

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