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Old 07-08-2010, 01:40 PM   #2
Becky
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Join Date: Sep 2005
Location: Stockton, NJ
Posts: 4,179
Re: Decisions, decisions

There are 2 choices when you go into Adjuvant online. Initial diagnosis and then after 5 years of tamoxifen. I did both on you.

In initial diagnosis, I used 45 as your age and I couldn't remember your tumor grade so I used the worst case scenario and used 3 and also used high risk criteria (for the Her2+

Your 10 year recurrence free would be 92.4% if you did nothing but surgery (with rads for lumpectomy) and 94.2% with the use of hormone therapy.

Going to after 5 years of Tamoxifen - and use 5 years of Femara your rate goes up a meager 94.4%. It is probably better than this because both are just 10 year rates. It doesn't say which of the original 5.8% of the women in the first 5 years actually "made it" to the second 5 years even though over the 10 years, they don't make it. Basically the second set of numbers have to take that into account but don't give you that data. What that data says is the women who take 5 years of tamoxifen and do nothing else, their rate of recurrence is 6.2% over the next 5 years but the women who do take the 5 yrs of Femara, their rate of recurrence is 3.8% (a third or so reduction) but on a small number. In the second go around, I did use your current age.

I really hope you understand this!
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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