I was recently diagnosed with stage 1 DCIS in my right breast and decided to have a double mastectomy with immediate reconstruction using expanders. The pathology report indicates that the lymph node is negative for methastasis, but I am still waiting on the results for submicromethastasis. My oncologist said I won't be needing chemotherapy or radiation, but that I will most probably have to take hormone therapy. However, if I have no breast tissue left, what would be the point of taking hormone therapy? Any help will be greatly appreciated.
Your oncologist is right with the treatment plan. Tamoxifen is known to cause increased disease free survival in patients with breast cancer after they have under gone mastectomy. It is also known to decrease the incidence of breast cancer in high risk group patients.
You need to discuss all your doubts with your oncologist before you start the medication. Also ask him about the possible side effects that you might be having related to the medication.
Hope this helps.
Thank you so much for your response. I did ask him about possible side effects, but he's not in favor of discussing side effects, because he says that every person is different and he can't know for sure how each person is going to respond. I guess that my biggest question is that if I do not have breast tissue left, is it possible for me to get cancer somewhere else if I don't take the Tamoxifen? Th4e sentinel lymh node came back negative for cancer, so I just want to be sure that I'm making the right decision about this treament. Thanks again.
Yes, that is the whole point of using tamoxifen in post mastectomy patients, in some cases even after radiation therapy. Tamoxifen has been documented to increase the disease free survival in post surgical patients with breast cancer.
The incidence of metastasis is reduced significantly and so is the spread or recurrence risk. All this must have been already explained to you by your oncologist.
Discuss every step in detail with your oncologist, he will suggest the best amongst all the options available for you. Once you are convinced, you will not have any doubt about your decision and treatment plan.
Hope this helps.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
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.