Hi there my diagnosis was infiltrating duct bc grade 2 , 20mm with one lymph node 0.8 mm. Er pos, pr positive and her2 neg. I had a lumpectomy and when above results were known the three oncologists who were part of the consulting multidisciplinary team at the private hospital all, based on the lymph node issue recommended chemotherapy. I reacted with huge amount of anxiety-- ended up on the floor-- and really chemotherapy just filled me with dread. My brilliant sugeon sent me to an oncologist a bit out of the way: who promptly said I don't recommend chemo for you: it would give u a 1-2percent increase of survival and carries real health and functioning risks. I had this thought ' I can do this'. And the dread left. He said, for me, the surgery was key. FollowiEd by targeted treatment ie hormonal- tamoxafen: bu then said radiation may have some value as well. I then said well everyone else seems to either have chemo or other oncologists etc: and his response was a lot of practice is out of date, risk adverse, automatic and also there is financial incentives as well. He liken chemotherapy in my case: to bombing in Vietnam. A bit hit and miss: I think ou
R language around this can be really important as I've had women tell me there chemotherapy 'guaranteed' them 5 years etc. I can only speak from my experience: if chemotherapy increased my level of survival odds to 50 percent then I would have worked with my fear to have it. When I thought I had to have chemotherapy I checked in with my work for possible 4 months off lwop and was told I wouldn't be eligible. So for me : after a year my life is pretty much the same except my business on the side took a hit as I thought I've got to cut back on something but that's coming back as well so all good. When I had radiation at peter Mac I was reassured that my treatment was standard : my follow up is every 3-5 months with oncologist who I've seen three times now: and he brought up research about 'best practice' follow up is yearly mammagrams/ultrasounds and the ironically low key physical examination. The changes I've made to lifestyle is based around less alcohol : from 5-7 glasses pw to 1-2 and more exercise. Fear does come up but its ok and I'm always surprised at this also being true for women who have had the lot: so chemotherapy doesn't seem to be agaurantee of General wellbeing and confidence. I do want to live a long life: and be here for my kids but I also mostly have made peace with life's uncertainty and also the value of my life right now. Not my intention to argue against chemotherapy but just to speak from my experience!