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Female | 55

Should I Start Chemotherapy or Oncotype DX Test?

Hello, my sister discovered she had a breast cancer in March 24, she had a successful lumpectomy in March 28, the pathology report said that tumor was 22 x 23 x 18 mm, has 5 involved lymph nodes, ER strong positive ( score 8 ), PR negative, HER2 negative...  after that she did a pet/CT scan in May and the opinion of the radiologist written in the report was " patient with right breast cancer after surgery showing no evidence of hypermetabolic lesion distinctive for loco-regional resudal/recurrence of metastatic disease. I also attached the detailed results of the pet/ct itself. Now does it recommend for her to start chemotherapy or to do oncotype dx test first and btw she had 25 sessions of radiotherapy, so after the surgery ( in March) we had the radiotherapy in ( June) and now we don't know we have to start chemotherapy or do this test first since she has ER positive, HER2 negative and she's postmenopausal. She is 55 yrs old. Now I now your opinion, your advice and recommendations for us. And if she did the test and the result is law and chemotherapy is still recommended for her can she take at least a less intensive chemotherapy regimen.

Answered on 9th Sept '24

From the information that you were able to share, it sounds like your sister had the necessary treatment done successfully for her breast cancer. Given that she is ERpositive and HER2 negative, the Oncotype DX test can be used to determine whether she requires chemotherapy. If the test indicates low risk, she might not have to undergo intensive chemotherapy. This check is based on the study of the genes present in cancer cells and helps to determine treatment methods. It is important to talk about these options with her oncologist so that the best solution can be found for her case.

3 people found this helpful

Questions & Answers on "Breast Cancer" (47)

Answered on 23rd May '24

Dr. Ganesh Nagarajan

Dr. Ganesh Nagarajan

Patient is having pain in left brest also feel something is moving inside

Female | 31

If you are experiencing pain in your left breast and feel something moving inside, it is important to consult a doctor. These symptoms may be due to various reasons, and it is best to visit a breast specialist or a general surgeon for proper diagnosis and treatment. They can guide you with the appropriate care and tests needed.

Answered on 19th July '24

Dr. Babita Goel

Dr. Babita Goel

I am a girl and my age is 22. I have pain in my left nipple.

Female | 22

A throbbing or stabbing sensation in the chest can be triggered at the age of 22 by a variety of issues, such as hormonal transformations, trauma, disease, or particular drugs. Hormonal shifts around the menstrual cycle can cause one or both nipples to hurt. If you are experiencing pain along with other symptoms like redness, swelling, or discharge, see a healthcare professional immediately. 

Answered on 4th June '24

Dr. Nisarg Patel

Dr. Nisarg Patel

Hello, my sister discovered she had a breast cancer in March 24, she had a successful lumpectomy in March 28, the pathology report said that tumor was 22 x 23 x 18 mm, has 5 involved lymph nodes, ER strong positive ( score 8 ), PR negative, HER2 negative...  after that she did a pet/CT scan in May and the opinion of the radiologist written in the report was " patient with right breast cancer after surgery showing no evidence of hypermetabolic lesion distinctive for loco-regional resudal/recurrence of metastatic disease. I also attached the detailed results of the pet/ct itself. Now does it recommend for her to start chemotherapy or to do oncotype dx test first and btw she had 25 sessions of radiotherapy, so after the surgery ( in March) we had the radiotherapy in ( June) and now we don't know we have to start chemotherapy or do this test first since she has ER positive, HER2 negative and she's postmenopausal. She is 55 yrs old. Now I now your opinion, your advice and recommendations for us. And if she did the test and the result is law and chemotherapy is still recommended for her can she take at least a less intensive chemotherapy regimen.

Female | 55

Answered on 9th Sept '24

Dr. Ganesh Nagarajan

Dr. Ganesh Nagarajan

I have breast cancer, but there are no mutations in the genetic test in 70 genes, what could cause cancer?

Female | 28

Breast cancer can have various causes, and not all cases are linked to genetic mutations. Factors like age, family history, hormones, reproductive history, etc. can also contribute to breast cancer risk. It's a complex disease and personalized treatment plans are required. Consult with an oncologist for accurate guidance.

Answered on 23rd May '24

Dr. Nisarg Patel

Dr. Nisarg Patel

As per sonography report is sates -. Both breast shows---- E/o Small coarse cakcification noted in left breast upper outer quadrant of size approx.. 2.6 mm...?due to old infective etiology or chronic inflammatory So we did mammogram as per report Findings: Both breasts consist of mixed scatured fitroglandular and fatty tissue. (ACR type II) No obvious focal spiculated mass lesion, retraction of tissues or cluster of microcalcifications is seen in either breast to suggest the presence of malignancy. No axillary lymph nodes are noted. Sonomamography screening: Both breast consist of mixed fibroglandular and fatty tissue. No SOL is noted. No duct ecatia is noted. IMPRESSION: No significant abnormality in both breasts. (BIRADS 1). Suggest-Follow up after 1 year for routine check up. Is there any case of worry

Female | 52

According to the tests, there’s no evidence of any major problem such as cancer in either breast, which is fantastic news. The tiny calcification found in the left breast could have resulted from an old infection or inflammation. Currently, there’s no cause for alarm but it’s essential to have another checkup next year to be safe. In case you observe any unusual changes in your breasts before then, please let your doctor know.

Answered on 20th July '24

Dr. Donald Babu

Dr. Donald Babu

I have something thick in my breast for 2 weeks and have been taking relief tablets what can I do now?

Male | 14

During two wee­ks, you've noticed a lump in your breast and take­n medicine. This nee­ds examination by an oncologist. Lumps may happen due to hormone­s, cysts, or severe proble­ms. I suggest scheduling an appointment soon to ge­t checked properly and le­arn the next steps.

Answered on 6th Aug '24

Dr. Ganesh Nagarajan

Dr. Ganesh Nagarajan

I had 2 lumps ( fiberdenoma ) on my left breast and it's easily movable ...and I found the lump on November 2023 now also it has not gone ...now I was feeling a lump on my right breast also ...and it also easily movable...not having any health issues anything like that

Female | 22

Fibroadenomas are the predominant cause of these lumps. They are caused by hormonal changes and they are not cancer. They can be discovered on their own due to fluctuating hormones when a woman's period cycles. They are painless, moveable, and without any problem. To be perfectly sure, one should go to the hospital and get it examined thoroughly. Even if it is frequent the hospital may demand additional tests. Keep in mind not to freak out but you'll require a professional check for any changes in your breasts that are unaccountable by logic.

Answered on 23rd May '24

Dr. Sridhar Susheela

Dr. Sridhar Susheela

Hi, I have stage 2 Breast cancer. Which is the best hospital for treatment? Please suggest a name of doctor also.

Female | 34

You can visit your nearest Surgica Oncologist. If you are in Mumbai you can connect with me. Dr Akash Dhuru (Surgical Oncologist)

Answered on 19th June '24

Dr. Akash Dhuru.

Dr. Akash Dhuru.

can breast cancer develop in 6 months

Female | 25

Yes, it's possible for breast cancer to show up quite quickly, in as little as 6 months. Being alert to any changes and consulting your doctor if something seems unusual is critical for early detection and treatment.


 

Answered on 23rd May '24

Dr. Donald Babu

Dr. Donald Babu

I was diagnosed with breast cancer her positive not hormone dependent. I completed 16 cycles of chemo went for surgery and all my results came back negative of cancer cell and no residual carcinoma. My question is how long should be the radiation based on the results post chemo and surgery?

Female | 40

The need for radiation depends on the type of surgery done and the histopathological report. Your surgical oncologist will be able to advice you better.

Answered on 6th June '24

Dr. Akash Dhuru.

Dr. Akash Dhuru.

I suffering breast cancer I want to take best option for me, if I take decision for surgery, what is. estimated cost

Female | 45

Breast cancer may be surgically cured by a mastectomy or a breast conservation surgery. Please consult once to discuss what will be best for you.

Answered on 23rd May '24

Dr. Shubham Jain

Dr. Shubham Jain

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