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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.

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Survivorship Care Issues
Questions surrounding survivorship and life after cancer.
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AskedPublicly Submitted Question
7/17/2017Hello, If large stage II tumor with oncotype 13 (9% 10 year recurrence risk) is 10 years of AI definite? I'm concerned by reading studies that not all women get the same benefit from years 5 - 10 of AI. Bone loss from 4 years Letrozole has me considering switch back to Tamoxifen (took for 6 months before Letrozole). Locally I was told it was my choice but I am the type who needs to analyze the decision. Saw Dr. Prowell in 2013 for second opinion. Would I be able to do that again for help with this decision? Also does Hopkins do Breast Cancer Index test in my situation? Thanks so very much!
RepliedJHU's Breast Center Reply
7/19/2017you should be able to see her again. so call 410-955-8964 for an appt. in most cases for large tumors that are ER positive hormonal therapy is more commonly for 10 years today. Nothing works 100% for every patient and there isn't a way to predict who will get the max benefit and who will not. discuss with Dr Prowell your concerns about bone health. there are options for protecting bones.

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.


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