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Questions to ask to ensure you are in good hands
Questions on what to ask to make sure your in good hands.
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AskedPublicly Submitted Question
9/6/2017I was diagnosed with ER/PR (highly positive) invasive ductal BC in the right breast 11/16 with ductal & lobular features-marker index 15%-Onco score was 18-I had a lumpectomy & reduction completed with no lymph node involvement in 12/16-radiation trmt was completed 4/17-Question: I am 62 & 5 yrs of inhibitor was recommended by an oncologist-however, he ordered a blood test to ck my levels of estrogen-the estadiol level was less than 5.0 & the Total Estrogens was 98-he states my estrogen level is too high for the inhibitor to be effective- he states my level needs to be less than 20 to take the inhibitor-my gynecologist confirmed that I am in menopause so the ovaries are not producing estrogen-I have not started an inhibitor & I'm 4 months past radiation-the oncologist is unsure of what to do at this point - I am careful with dietary & environmental estrogens - what is your understanding of total estrogens and the use of inhibitors? - Thank you so much for your reply - I am at a standstill in treatment. ED
RepliedJHU's Breast Center Reply
9/6/2017REquest that your case be presented to their weekly breast cancer tumor board for a team discussion. if you have had no period for 12 or more months then that is technically considered to be post menopausal. if your gyn says you are post menopausal then he/she should know. it would be really strange for your ovaries to be doing anything right now at age 62 so an AI would likely be the recommended hormonal therapy treatment.

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