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|Forum||Questions||Ask a Question|
Questions about Hormonal Therapy.
|Asked||Publicly Submitted Question|
|5/1/2012||I am 31years old, diagnosed with Stage 1b, grade 3 breast cancer in 9/11, micromets found in my sentinel node, all other (15) nodes removed were negative. I had bilateral mastectomy in October, started 8 rounds of dose dense ACT which I finished 2/23/12. I am still receiving Herceptin every 3 weeks for the remainder of one year. Radiation was discussed and decided it was not needed. Now, it is time to start Tamoxifen. I was only 2 % ER positive, PR negative. My oncologist feels we should be aggressive and go after those "2 out of 100 cells" that Tamoxifen may target. Are there standards on how hormonally driven a cancer should be before therapy is considered? Or are all "positives" worth treating? I'm worried that this may be over treatment of something minimal, bit I also understand the need to be aggressive at my age......any thoughts would be greatly appreciated!|
|Replied||JHU's Breast Center Reply|
|5/1/2012||good question however there are not standards that are clearly defined regarding hormone receptors that are in the single digits and to what degree of benefit will tamoxifen be. Your age no doubt is a driver of this recommendation from your doctor. So go and get a formal consultation with another breast medical oncologist. Also, if you haven't heard, consider getting genetic counseling and testing too. if you tested positive for a breast cancer gene, then there would likely be a discussion about removing ovaries after childbearing is completed and that may also undo the need for hormonal therapy.|
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