I tried to go online to use Adjuvant Online, however a doctor can only use it.
I am having a hard time deciding on chemo for my triple negative bc. I had a modified radical mastectomy with sentinel lymph node biopsy and axillary lymph node dissection on 5-30-08. I had clear margins and sentinel node clear and 9 more nodes clear. My pathology report states infiltrating ductal carcinoma, nottingham grade III, angio-lymphatic invasion-absent, associated DCIS-absent. HER2-negative. All margins are free of maligancy with the closest margin being the posterior margin (3 cm). Mitoses 2/3, nuclei 3/3, tubules 3/3, so Nottingham score is 8 of 9.
Lymphatic invasion is absent. Extensive intraductal component is absent.
Extent of invasion: pT1c.More than 1 cm but not more than 2 cm in greatest dimension. Maximal dimension 1.9 cm.
Negative immunohistochemistry. I am 54 and in good health. Can a doctor run this thru on Adjuvant and tell me my outcome with taking chemo and without chemo. And if you advise chemo is necessary, what type would be good for me? Thank you so much!
I have entered your data in Adjuvant! Online and from the output, your chance of survival and being free of recurrence is 79.9% in 10 years (which is pretty good). The addition of chemotherapy will increase that probability by another 5.9% using standard chemotherapy (6FAC, or AC-Taxane). It is a small increment but it is still a significant jump in your chances. Hope this helps. Regards and God bless.
If receiving chemo gives me a 5.9% increase in survival what are the % of the heart health risk of receiving A/C of 4 doses and 4 does of Taxol? My MUGA was 54 and I am concerned of heart muscle damage if I take the chemo. Your thoughts are appreciated. Thank you.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.