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Facts and Myths about Breast Cancer
Questions on the facts and myths of breast cancer.
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AskedPublicly Submitted Question
10/4/201611mm IDC abutting pectoralis major (on mri) without comment on muscle enhancement. Pre-menopausal. Should I anticipate chemo in addition to surgery/radiation? Is proton therapy the preferred method of radiation or is it more dependent on tumor location (e.g., left breast vs. right)?

Replied

JHU's Breast Center Reply

10/4/2016 depends on your age, and the prognostic factors of ER, PR and HER2 along with Ki67, nodal status, and grade. lumpectomy with sentinel node biopsy sounds doable as first step. if it is ER positive and HER2 negative then request oncotypeDX test to be done too.


Thank you - 49. ER/PR+, Her2Neu- (Ki67 not known). Appreciate the advice.
RepliedJHU's Breast Center Reply
10/4/2016so hormone therapy a definite. proton still quite new. location and breast size a factor as well. the oncotypeDX report will show you what your risk of metastatic disease is and how many percentage points it goes down if you opt to also do chemo.

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