Oncotype at 37 yo

Hi everyone,

Weird day here - I had a face-to-face appointment booked to discuss surgery for the first time, but everything seemed to turn on its head. Half way through the drive to the hospital, phone went off. Pulled over and called back - they wanted to do apt by phone rather than face to face! So I turned tail and hotfooted it home!

Anyway - still no outcome on surgery because my MRI (I was diagnosed with Lobular, so they wanted to check for other areas) showed another suspicious mass in the same breast. Now I have another biopsy first thing tomorrow - though if it doesn’t show up on the ultrasound, I will have to travel to Bristol to have an MRI biopsy instead. When I pressed him, he said it was highly likely to be another tumour. This will mean a definite mastectomy. I asked if we couldn’t just skip straight to that to speed things up and avoid all the biopsy rubbish, but it is a definite no-go!

Anyway - sorry for the ramble, I’m still trying to digest all this. The one bit that I’m most concerned about is that at the moment “there’s no strong indication that chemo will help” and they’re sending away for it to be Oncotyped just to double check. On one hand, of course I’m glad that the likelihood of having to have chemo is low - but on the other hand, it scares me that this major tool of beating cancer won’t help me! Does anyone have any words of wisdom on this? It is ER+ though, so I will end up with something like tamoxifen at some point.

Sorry to waffle. Just needed to talk to some people who get this stuff a bit more!

Beth xx

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Beth, waffle away that’s what the threads are for, your safe place where everyone understands and will listen and :two_women_holding_hands: . :two_hearts: :two_hearts: :sparkles: :sparkles: Shi xx

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Hi Beth,

I’m not a medical professional at all, but I think they tend to use the phrase “it won’t help” when they mean “we can do enough by other means, so you won’t need it”. Not always the best at phrasing, are they? I had similar last year, had a mastectomy and there was no indication at the time that chemo would be adding much benefit, so indeed “not helpful” in the longer term risk management sense.

Hope that sets your mind at rest a little, and sending you all the good thoughts for the next steps xx

Hi Beth, 

I have a very similar story to yourself. I’m at bit older at 40 and was diagnosed (last October) with Lobular Cancer. On initial inspection with biopsies, MRI, ultrasound the cancerous area seemed much smaller. Ended up being 4 cm which they managed to get clear margins after 2 operations. I went down the Optima trail route and it came back that the chemo would not work for my type of cells. 

I’ve just completed radiotherapy and take tamoxifen too. 

It’s so difficult not to worry and I hope you get a date soon for your operation. If you ever need to vent or need any further help/ words of wisdom feel free to message me ? Lynsey 

Hi Beth, 

I’m wrestling with similar demons re. Chemo. 

I am 41 and have (had!?!) bilateral hormone positive BC. One of my Oncotype tests came back low at 11 and the other one was unexpectedly higher at 21 which put me as ‘borderline’ benefit for chemo. 

My oncologist took the decision out of my hands and decided chemo wouldn’t be part of my treatment plan. I’m grateful she did - there would have only been a small benefit and I would have agonised over the decision. I definitely have moments of terror - that we haven’t thrown everything and the kitchen sink at it - but I remind myself that I trust her and know she will have weighed up the risks vs benefit of chemo. 

I really get how you feel. The shock of the diagnosis/results puts us in such an anxious heightened place. I find if I express my concerns to my team they usually put my mind at rest. It’s hard placing your trust in the hands of others whist advocating for yourself. I hope you can get some reassurance. 

Hugs. XÂ