Hi Jen.
I will be interested to see what others have to say about your question. Take heart -- the problem isn't that YOU aren't educated enough, it is that the experts aren't sure either!
You and I both are HER2 positive, and strongly ER+ and strongly PR+. (Where we differ is that you have had Herceptin and I have not, and you are stage III and are in the high-risk younger age group and I am stage 1 and dx'd at 50, so take all that into account.)
I have not been able to find a satisfactory answer to the question either. I did 1 3/4 years of tamo before I was aware of any controversy about it, and then raised the question with my PCP in Alaska, who contacted my onc, a general medical onc, about it. I was told only that because I was now menopausal I could choose to switch to an AI if I wanted to; in other words, no one really had the answer. I switched over.
PR is something they haven't spent much time understanding. I keep my ear out for what Dr. Richard Elledge has to say about it.
I hope Lani or Joe might see something out there to help with this question.
A.A.
|