Dear Dr. Saini
I have recently been diagnosed with Stage II invasive ductal carcinoma, neg nodes, HR positive, Her2/neu neg. Tumor size 2.1cm. The tumor was very close to the chest wall with 1mm margin. I am also post menopausal. My question is if radiation or chemo is recommended? My oncologist has recommended Hormone Therapy, probably Femara. I had a total mastectomy 2 weeks ago.
My tumor is grade II and No LVI. I have received the Oncotype DX results.. The recurrence score is 22. That indicates a Distant Recurrence % of 14. This is in the intermediate range.
I appreciate your response, thank you so very much
This is in response to your first answer to my original question.. You requested the tumor grade and if LVI involvement. I am not sure how to reply , so I am sending the question again.
With 2.1 cm tumor, Grade II, intermediate Oncotype, node negative, no LVI, receptor positive, HER2 neg, we are truely in the "grey zone" where there is no strict "correct" treatment decision between chemotherapy versus hormone therapy.
The guidelines say that you must "consider" chemotherapy for two reasons: tumor size is 2.1 cm and tumor grade is II. One additional point of worry is that tumor margin was just 1 mm near the chest wall.
Please obtain the suggestions of your treating doctors, and then take an informed decision.
All the best!
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.