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I am new to these boards and would like to ask a question since so many of you seem so knowledgeable. I recently had a mastectomy due to a recurrent infiltrating ductal carcinoma , 0.7 cm with dcis, Grade 2, no nodal involvement, er+ 85% and Her+++. Seven years ago I had a 0.8 cm idc that was er + and Her - with no lymph node involvement. I had a lumpectomey, rads and took Fareston for 5 years. This latest recurrence is a new primary tumor and not related to the first one. After this latest diagnosis and much discussion with my onc, he says that my best course of treatment is for me to take Tamoxifen for 5 years (I am still premenopausal at 52 years old) which he thinks will put me into menopause and then he will switch me to an AI. When we discussed chemo and Herceptin he stated that the model he uses to compare recurrence rates for someone with my status indicates that the hormonal therapy will provide as good a benefit as doing chemo and that the risks of giving the chemo just to get the Herceptin outweigh the benefit. I got an article off of this site that discussed the possibility that Tamoxifen therapy may be adverse to women who are her+ which I gave to my onc. He did some research and said that while the information is intriguing, there isn't enough data to support my not getting Tamox. I do not feel uncomfortable with my treatment plan but would just like to get some opinions from those of you who might wish weigh in on the matter.
Thanks very much for a very informative site.
Petesmom
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