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Psychological Support
Questions about support for the mental aspects of breast cancer & treatement.
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AskedPublicly Submitted Question
7/25/2015Lillie, I've written a few times previously. Post surgery I was Stage 1, grade 1, 8mm, no nodes involved. My oncotype came back at 18 and I was so disappointed, and my MO said chemo was not recommended, just rads which I completed well and now Tamoxifen which I know I have to take but haven't started because I'm afraid. Can you please slap some sense into me? That 18 score really took the wind out of my sails being indeterminate. Does the fact that it's on the lowest end of the indeterminate range mean anything positive? I'm just looking for some peace in all this. I even wish I'd done the mastectomy but didn't know enough at surgery time. I'm second guessing foolishly I know but wonder what your thoughts are re: my stats and the 18 score? Thank you.
RepliedJHU's Breast Center Reply
7/25/2015score of 18 does mean that benefit from chemo is very minimal. likely part of that reason is because grade 1 cells are VERY slow growing and chemo is designed to kill fast growing cells. all of that said, stage 1, 8mm is fantastic news. ER positive and HER2 negative is super duper news. tamoxifen is your new best friend. it is your home run for not having to revisit this disease again. it treats you head to toe. hormonal therapy in many cases has proven to be THE most important treatment of all the treatments that exist. so take that pill once a day having faith that you will join me ranks as a long term survivor.

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