The information available on the Breast Cancer Network Australia website is not medical advice and is provided for information purposes only. It should not be viewed as a replacement for a consultation with a qualified medical professional. Our website is designed to offer information and support to the general public. Be aware that we do not provide any medical advice, and for medical advice we recommend you speak to a qualified medical professional or doctor. 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have conflicting views..","id":"message:191436","revisionNum":1,"repliesCount":18,"author":{"__ref":"User:user:22990"},"depth":0,"hasGivenKudo":false,"board":{"__ref":"Forum:board:general-treatment-and-surgery"},"conversation":{"__ref":"Conversation:conversation:191436"},"readOnly":false,"editFrozen":false,"moderationData":{"__ref":"ModerationData:moderation_data:191436"},"body@stripHtml({\"truncateLength\":200})":"Hi all, really appreciate any advice on this one, have no idea which way to go. Had hormone receptive tumour, small 1.1cm, did surgery, radiation... then medical oncologist said need no more treatment...","body@stringLength":"2026","rawBody":"Hi all, really appreciate any advice on this one, have no idea which way to go. Had hormone receptive tumour, small 1.1cm, did surgery, radiation... then medical oncologist said need no more treatment..this is contrary to surgeon, gp and radiation oncologist who all think hormone therapy (Tamoxifen) is necessary.. but won't stand those opinions up to medical oncologist. Went back to med onc, asked to go on hormone therapy, I want to do everything I can to prevent bc coming back. He said side effects can be brutal, only improves chances by 1%, not worth it, if it comes back deal with it then... was horrid in his words, acted like bc was a nothing. He was a complete pratt. Anyways I got script, Tamoxifen, doing pretty good, only side effect really is dizziness...so am blessed compared to most... however dizziness quite bad, had 3 falls now, in last fall fractured cheek bone and multiple cuts and grazes. Went back and asked for some medication for dizziness side effect. Got told... Tamoxifen not worth it, just stop taking it... like wtf... I wasn't complaining, I want to do everything I can to stop this dreaded disease recurring, just needed a hand with the side effects. I'm scared to not take Tamoxifen, feel like I wouldn't be helping myself.. I know its not a guarantee but surely buying yourself a bit more of a chance is better than doing nothing.... drs have got me really confused and acting like I'm bringing side effects on myself. Is anyone else with hormone receptor tumour doing hormone therapy... or have you also been told side effects outweigh doing it. I had thought HT was pretty standard. Can I also throw into the mix I've had 2 melanomas as well as multiple squamous cell carcinoma skin cancers, so clearly cancer cells are quite prevalent in my body in different forms... hence whilst trying to help myself with this bc. Would so appreciate hearing anyone else's story on what their oncologist has got them doing... Many thanks for taking the time to read this... 😊","kudosSumWeight":0,"postTime":"2021-03-25T03:21:05.000-07:00","images":{"__typename":"AssociatedImageConnection","edges":[],"totalCount":0,"pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null}},"attachments":{"__typename":"AttachmentConnection","pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null},"edges":[]},"tags":{"__typename":"TagConnection","pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null},"edges":[{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDE","node":{"__typename":"Tag","id":"tag:coping","text":"coping","time":"2025-03-25T05:01:39.590-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}},{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDI","node":{"__typename":"Tag","id":"tag:d","text":"d","time":"2025-03-25T05:03:26.386-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}},{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDM","node":{"__typename":"Tag","id":"tag:tamoxifen","text":"tamoxifen","time":"2025-03-25T05:01:51.381-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}}]},"timeToRead":2,"currentRevision":{"__ref":"Revision:revision:191436_1"},"latestVersion":null,"metrics":{"__typename":"MessageMetrics","views":331},"visibilityScope":"PUBLIC","canonicalUrl":null,"seoTitle":null,"seoDescription":null,"isEscalated":null,"placeholder":false,"originalMessageForPlaceholder":null,"messagePolicies":{"__typename":"MessagePolicies","canModerateSpamMessage":{"__typename":"PolicyResult","failureReason":{"__typename":"FailureReason","message":"error.lithium.policies.feature.moderation_spam.action.moderate_entity.allowed.accessDenied","key":"error.lithium.policies.feature.moderation_spam.action.moderate_entity.allowed.accessDenied","args":[]}}},"archivalData":null,"customFields":[],"body":"Hi all, really appreciate any advice on this one, have no idea which way to go. Had hormone receptive tumour, small 1.1cm, did surgery, radiation... then medical oncologist said need no more treatment..this is contrary to surgeon, gp and radiation oncologist who all think hormone therapy (Tamoxifen) is necessary.. but won't stand those opinions up to medical oncologist. Went back to med onc, asked to go on hormone therapy, I want to do everything I can to prevent bc coming back. He said side effects can be brutal, only improves chances by 1%, not worth it, if it comes back deal with it then... was horrid in his words, acted like bc was a nothing. He was a complete pratt. Anyways I got script, Tamoxifen, doing pretty good, only side effect really is dizziness...so am blessed compared to most... however dizziness quite bad, had 3 falls now, in last fall fractured cheek bone and multiple cuts and grazes. Went back and asked for some medication for dizziness side effect. Got told... Tamoxifen not worth it, just stop taking it... like wtf... I wasn't complaining, I want to do everything I can to stop this dreaded disease recurring, just needed a hand with the side effects. I'm scared to not take Tamoxifen, feel like I wouldn't be helping myself.. I know its not a guarantee but surely buying yourself a bit more of a chance is better than doing nothing.... drs have got me really confused and acting like I'm bringing side effects on myself. Is anyone else with hormone receptor tumour doing hormone therapy... or have you also been told side effects outweigh doing it. I had thought HT was pretty standard. Can I also throw into the mix I've had 2 melanomas as well as multiple squamous cell carcinoma skin cancers, so clearly cancer cells are quite prevalent in my body in different forms... hence whilst trying to help myself with this bc. Would so appreciate hearing anyone else's story on what their oncologist has got them doing... Many thanks for taking the time to read this... 😊"},"Conversation:conversation:191436":{"__typename":"Conversation","id":"conversation:191436","solved":false,"topic":{"__ref":"ForumTopicMessage:message:191436"},"lastPostingActivityTime":"2021-03-28T11:50:33.000-07:00","lastPostTime":"2021-03-28T11:50:33.000-07:00","unreadReplyCount":18,"isSubscribed":false},"ModerationData:moderation_data:191436":{"__typename":"ModerationData","id":"moderation_data:191436","status":"APPROVED","rejectReason":null,"isReportedAbuse":false,"rejectUser":null,"rejectTime":null,"rejectActorType":null},"Revision:revision:191436_1":{"__typename":"Revision","id":"revision:191436_1","lastEditTime":"2021-03-25T03:21:05.000-07:00"},"ForumReplyMessage:message:191443":{"__typename":"ForumReplyMessage","id":"message:191443","conversation":{"__ref":"Conversation:conversation:191436"},"author":{"__ref":"User:user:20667"},"revisionNum":1,"uid":191443,"depth":1,"hasGivenKudo":false,"subscribed":false,"board":{"__ref":"Forum:board:general-treatment-and-surgery"},"subject":"Re: Drs have conflicting views..","readOnly":false,"editFrozen":false,"moderationData":{"__ref":"ModerationData:moderation_data:191443"},"parent":{"__ref":"ForumTopicMessage:message:191436"},"body":"@Chevvy - how old are you? Have you gone thru menopause?
My surgeon told me that I'd go onto Tamoxifen, so I was expecting to - but it was never even mentioned by my Onc.
Back in it's day, Tamoxifen was the ONLY AI med available (back when the only surgery was radical mastectomies - irrelevant of tumour size) & both my brother's Mothers in Law were on it 30+ years ago for 10 years and they are are still here today, aged in their 90s! So I reckon that proves it is an effective med!
These days, I believe Tamoxifen is used more for Pre Menopause women - tho depending on the type & grade of the tumour, some still go onto the other AIs, eg Letrozole etc.
I went straight onto Letrozole - I am 20 years post menopause. Then Exemestane, and have now 'settled' on Arimidex for the last 2.5 years!! So it is NOT unusual to 'have a change' mid stream either.
It is a shame that this Dr (is it a GP) has now undermined your confidence in your medical team - I am guessing it isn't the Onc who prescribed you the meds in the first place? Keep in mind that GPs are NOT Oncs!! They may 'think' they have a broad understanding of EVERYTHING ..... but they do not - specially in the case of cancer treatments.
That's why Oncs are 'specialists' and GPs are 'General Practitioners'!! They have a 'general knowledge' of lots of stuff .....
SO .... Definitely get a second opinion (and put it in writing to your original Onc as well, to get HIS explanation as to why he put you onto Tamoxifen), and make sure you record any meeting on your phone for future reference - write down any questions that you have regarding which AI you are on & WHY ...... Make sure you give THEM a printed copy of the questions (and make notes on your own copy ....) & don't leave til all the questions have been answered.
All the best xxx","body@stringLength":"1989","rawBody":"@Chevvy - how old are you? Have you gone thru menopause?
My surgeon told me that I'd go onto Tamoxifen, so I was expecting to - but it was never even mentioned by my Onc.
Back in it's day, Tamoxifen was the ONLY AI med available (back when the only surgery was radical mastectomies - irrelevant of tumour size) & both my brother's Mothers in Law were on it 30+ years ago for 10 years and they are are still here today, aged in their 90s! So I reckon that proves it is an effective med!
These days, I believe Tamoxifen is used more for Pre Menopause women - tho depending on the type & grade of the tumour, some still go onto the other AIs, eg Letrozole etc.
I went straight onto Letrozole - I am 20 years post menopause. Then Exemestane, and have now 'settled' on Arimidex for the last 2.5 years!! So it is NOT unusual to 'have a change' mid stream either.
It is a shame that this Dr (is it a GP) has now undermined your confidence in your medical team - I am guessing it isn't the Onc who prescribed you the meds in the first place? Keep in mind that GPs are NOT Oncs!! They may 'think' they have a broad understanding of EVERYTHING ..... but they do not - specially in the case of cancer treatments.
That's why Oncs are 'specialists' and GPs are 'General Practitioners'!! They have a 'general knowledge' of lots of stuff .....
SO .... Definitely get a second opinion (and put it in writing to your original Onc as well, to get HIS explanation as to why he put you onto Tamoxifen), and make sure you record any meeting on your phone for future reference - write down any questions that you have regarding which AI you are on & WHY ...... Make sure you give THEM a printed copy of the questions (and make notes on your own copy ....) & don't leave til all the questions have been answered.
All the best xxx","kudosSumWeight":1,"repliesCount":0,"postTime":"2021-03-25T20:12:15.000-07:00","images":{"__typename":"AssociatedImageConnection","edges":[],"totalCount":0,"pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null}},"attachments":{"__typename":"AttachmentConnection","pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null},"edges":[]},"timeToRead":2,"currentRevision":{"__ref":"Revision:revision:191443_1"},"latestVersion":null,"metrics":{"__typename":"MessageMetrics","views":0},"visibilityScope":"PUBLIC","isEscalated":null,"placeholder":false,"originalMessageForPlaceholder":null,"messagePolicies":{"__typename":"MessagePolicies","canModerateSpamMessage":{"__typename":"PolicyResult","failureReason":{"__typename":"FailureReason","message":"error.lithium.policies.feature.moderation_spam.action.moderate_entity.allowed.accessDenied","key":"error.lithium.policies.feature.moderation_spam.action.moderate_entity.allowed.accessDenied","args":[]}}},"customFields":[],"replies":{"__typename":"MessageConnection","edges":[],"pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null}}},"CachedAsset:theme:customTheme1-1743643614981":{"__typename":"CachedAsset","id":"theme:customTheme1-1743643614981","value":{"id":"customTheme1","animation":{"fast":"150ms","normal":"250ms","slow":"500ms","slowest":"750ms","function":"cubic-bezier(0.07, 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