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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
12/13/20172.1cm tumor invasive ductal with LVI, 2/3 positive nodes and one of the nodes was >2mm at 3mm. Oncotype score of 20. ER+, PR+, HER2-.
Medical oncologist offered chemo or no chemo without answering my question for percentages and clinical trials. felt uneasy about this method. Is this what Johns Hopkins medical oncologists do?
Arenít there any standards or protocols to follow?
RepliedJHU's Breast Center Reply
12/13/2017Oncotype Dx scores range from 0-100 and are used to determine risk of recurrence. A score of under 18 is considered low risk for recurrence within 10 years for node-negative and within 5 years for node-positive patients, and chemotherapy would most likely not benefit. A score from 18-30 is the intermediate range and chemotherapy benefit would be discussed with the patient's medical oncologist. Scores above 31 are considered a higher risk of recurrence and have a greater benefit from chemotherapy. Since your score falls in that intermediate range, which is more of a gray area about whether chemotherapy will be a benefit or not, you may want to get a second opinion to talk about your specific breast cancer. One of our medical oncologists would be happy to see you if you would like to call 443-997-1513 for an appointment.

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