TNBC reduced cycles of EC

Hi TNBC - undergoing Neo adjuvant chemo surgery & radio planned for after.
4x Carboplatain / 11x Pacli - completed
Immuno - ongoing
Currently on with EC (2 of 4) after my first EC I was neutropenic sepsis and hospitalised for a week. My onco has singed reduced my dose to 80% for my second dose and put me on longer lasting GCSF inj. However she has also mentioned only going for 1 or 2 more cycles of EC instead of the initial proposed 4. Everything I read suggests 4 is the standard and I’m so worried about the risk of reoccurrence by only having 2 or 3 rounds of EC. I am struggling to get answers from my onc and don’t understand why we aren’t waiting to see how I tolerate the reduced dose first. Anyone have any experience of only having 2/3 cycles of EC? Thanks

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Hi I’m TN, I had 3 EC all at a dose of 90%, then was due Pac weekly and Carbo every 3 weeks (12 in total) my SE were building up and I had a a toxic reaction on the 2nd Carbo, so oncologist stopped rest of chemo, she said Id had enough to do the job, so I had 8/12, so I wouldn’t worry about having less than the original plan, apparently a large number of people end up not having the full amount. Having said that, I was due to have 5 Radio but because of being TN, family history and stopping chemo early, Im now having 10 Radio, 2 more to go. Forgot to say I had lumpectomy in Jan

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Hi @kmarie26 , I’m sorry you are having such a rough ride . Could you maybe talk to your breast cancer nurse about your concerns ? You could also ring the Breast Cancer Now nurses helpline to talk this through ?

Best of luck with the next stages of your treatment .