Hi Leona47,
Thanks for posting.
Having a breast cancer diagnosis and going through treatment is really tough, and it’s not unusual for people to tell us they have lost confidence.
There are lots of treatment options for breast cancer and this can be really confusing, particularly if you know others that have been offered a different treatment to you. Decisions about the treatment you are offered are made by the multidisciplinary team (MDT), and are based on many factors, including the type of cancer and the grade and stage of the cancer
Goserelin (zoladex) is used as part of treatment for breast cancer for some women who have not yet been through the menopause (pre-menopausal women). Goserelin stops the ovaries producing oestrogen (called ovarian suppression) which can help reduce the risk of the breast cancer coming back (recurrence) or a new breast cancer developing (a new primary breast cancer). Menopausal symptoms are the most common side effects of goserelin, but it can cause thinning of the bones due to the reduction in oestrogen. If your treatment team are concerned about you developing osteoporosis they may recommend a bone density (DEXA) scan.
Zometa (zoledronic acid) is a drug given to reduce the risk of breast cancer coming back and spreading to the bones and other parts of the body. Zometa works to slow down or prevent bone damage.
Zometa can cause some of the jaw bone to lose its blood supply and die. This is called osteonecrosis of the jaw (ONJ). It’s a rare but serious side effect of zometa. If you have not done so already, It’s important that you tell your treatment team about the issues you have had in the past with your jaw and mouth. They will usually ask you to see a dentist before you start the treatment to make sure it is safe for you.
Do speak to your breast care nurse or treatment team about how you are feeling. They can explain the risks and benefits of each of the treatment you have been offered, as each individual case is different. it’s important you have all of the facts so that you can feel confident to make an informed decision that is right for you.
We offer a range of free supportive services for anyone who has had a diagnosis of breast cancer which you may be interested in. They include face to face and online courses and events.
You can also call our helpline if you would like to talk this through or have any further questions. The helpline team have time to listen, talk things through and signpost you to more support and information if necessary. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000, (Relay UK -prefix 18001).
If you would prefer one of our nurses to call you. To do this, please complete this form ticking the box agreeing to a call back.
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Best wishes
Katie
Breast Care Nurse
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