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Survivorship Care Issues
Questions surrounding survivorship and life after cancer.
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AskedPublicly Submitted Question
9/19/2017Thanks. In relation to my previous question: " I was diagnosed with bilateral bc at 42 (pre-menopausal), IDC, T1cN1M0 in one breast and DCIS in the other breast. Both Er+ Pr+ Her2 negative. I had a DMX and dense chemotherapy (4AC+4 Taxol)No radiation. I had breast reconstruction with implants.I had Tamoxifen for about 2 years and then Letrozole+Zoladex. About 4 years have passed by since then". 1) They didn't do the OncotypeDX. So, I don't know my risk of distant mets in future. How is this test done? Can it be done at present? 2) Does it matter if I don't have that test done? My oncologist told me I'll have a total of ten years of hormonal treatment. I think because of my age at diagnosis, bialteral bc, and family history (mum had bc and colon cancer, an uant had colon cancer, a borther had thyroid cancer) BRCA1 and BRCA2 negative. Thank you.
RepliedJHU's Breast Center Reply
9/19/2017you still might have a gene mutation. there are other breast cancer genes other than BRCA 1 and 2. Ask about this.

OncotypDX test is done by having the pathologist send a tiny tiny piece of the tumor to genomic health. they look at 21 genomes to determine what your risk of metastatic disease is and how many percentage points that risk goes down by doing chemo. its kind of too late to do it now, other than it would tell you these numbers.

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