Ask an Expert: View a Question
 
 
 
 

Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.

We hope you find the information helpful!

ForumQuestionsAsk a Question
Questions to ask to ensure you are in good hands
Questions on what to ask to make sure your in good hands.
2,442 Ask a Question

AskedPublicly Submitted Question
6/1/2017Dear Lillie, thank you so much for helping us in our difficult times. My wife was diagnosed with grade 2 IDC BC. She had mastectomy in mid March this year with negative nodes and clear margin. Mitotic index=1, KI-67 15%. There were 3 (Multifocal) tumours the largest 13mm. Oncotype DX score is 27 (high intermediate) showing approx. 4% to 5% chemo benefit. She has opted for hormone only adjuvant treatment and has been taking Letrozole (Femara) for just over a month. Please advise if we should also be doing chemo considering we are now 11 weeks from surgery. I have read that chemo may not be effective once we have started on Femara because the cancer cells may now become dormant or less aggressive. Oncotype DX site shows that there are no substantial from chemo among the intermediate RS scores. Thank you
RepliedJHU's Breast Center Reply
6/1/2017Really the decision has been made and the action has been taken. some patients will do chemo for a 4-5% benefit- even a 1% benefit for those who are worry worts. However her decision was not to, which is her choice and something many other women have also opted to do the same decision. don't look backwards now trying to reguess if the right decision was made. we make decisions based on the information we have at that moment in time. have her be religious in taking hormonal therapy and anticipate taking it likely for 10 years.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.