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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.

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.

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