Question about systemic treatments after Bi-Lateral

I had a bi-lateral mastectomy with immediate reconstruction using tram In July. I'm Stage 2A, 2.3 size, clear margins, ER/PR positive, HER negitive (not overexpressed), Histologic grade2, Sential lymph node plus 2 others clear. No signs of anything in unaffected breast.. Have not yet had onco type test done. Nor yet seen oncologist. That is scheduled for Sept 8th... I've been told this is a very favorable path and I'm wondering if Chemo and/or hormones would be a benefit or not? I am also wondering what are chances of recurrance with no other treatments? Also it is true that when you have surgery tiny dust particles of cancer dust is released when it hits the air? I will be aksing my Doctor but wanted to have some thoughts before hand.

Thanks

Calleen

[japdip]

Usually if there is no lymphnode involvement Chemo isn't recommended.Since you had the Bilat. mastectomy I would think that only the hormone therapy would be the next step since you are ER/PR positive. This of course will be at the discretion of your Oncologist. The thing about particles in the air .... NO !!!   Regards ....