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|Types and Stages of Breast Cancer
Questions about the different types and stages of breast cancer.
|Asked||Publicly Submitted Question|
|5/22/2012||Hi, I have a 1.3 cm IDC and a 1.6 1.6 DCIS ER, PR positive and Her2 Negative, stage 1 grade 3 Breast cancer that has been surgically removed with clean margins. My Oncatype score came back as a 25 on the IDC and a 62 on the DCIS. To do chemotherapy is up to me. I am unclear on the risk of reoccurrence. My choices would be chemo, radiation and hormonal therapy or just radiation and hormonal therapy. I am very concerned about the high DCIS oncatype score and the mid range IDC score. I am post menopausal and 52 years old. I was on bioidenticals and have stopped taking them when I was diagnosed. I am trying to make a decision on chemo, Braca test came back negative and I am very healthy.|
|Replied||JHU's Breast Center Reply|
|5/22/2012||The oncotypeDX test provides a score # (in your case, 25) as well as a "risk of recurrence percentage" which is specific for you. so take a look at the report to find that value. that recurrence % is based on you definitely doing hormonal therapy. if you add chemo, it will tell you how many percentage points it will come down. |
The DCIS score is something quite new as you have probably been told. it does however also emphasize the importance of hormonal therapy and radation for you. so check out the percentage risk of recurrence to make a personal decision if you want to embark on chemo. some women will for a 1% benefit. there are women who want at least a 10% benefit. it is truly personal choice based on your risk aversion.
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