Mastectomy for 0.7CM DCIS In-Situ

My mom 50 yrs old underwent mastectomy in the right breast for 0.7cm DCIS In-Situ. The lymph nodes tested negative and they said lucily the cancer has not spread to any part of the body. (We were scared of lumpectomy because of the radiation follow-ups and also thinking the cancer might return)

She has tested ER+ though. Is this something to be very worried of? Is there a chance of the cancer occuring in the other breast? Her periods have n t stopped completely but she could just see some minimal blood..So what are we supposed to ask the doctor and be aware of? Some suggestions please.

[PaulMD]

Hi there.

ER positivity is a good sign, since this means that the DCIS is responsive to hormonal treatment.  I suggest that you discuss with your oncologist regarding additional treatments like tamoxifen or raloxifene.  These two drugs are proven to further decrease the chance of the cancer recurring on the same or the other breast and I believe would be of great benefit to your mother.   However, these drugs have side effects that I believe are manageable and should be discussed well with the oncologist.

Regards.

[japdip]

ER+ is a good thing; this is considered to be a less aggressive cancer. If all nodes were negative (also a VERY good thing) there may or may not be a recommendation of further treatment. The determination will be made when you, and she, see the oncologist. Treatment plans are set up on an individual basis after all the reports are in and evaluated. Tamoxifen will no doubt be suggested ... I believe the percentage of it's advantage in preventing recurrance is quite low and there are adverse reactions. It is a 5 year commitment you know. We as patients have the right to accept or refuse any treatment so be sure to ask about the untoward effects of the drug. Regards to your mom and kudos to you for being such a supportive daughter.

[praveen4mom]

Thank You soo much for your replies.

My mom's oncologist has suggested tamoxifen. (manufactured by Novaldex). It s a bit expensive compared to Indian manufactured ones. HOw much does tamoxifen cost in the US?