I hear your dilemma.Sometimes you are in a grey area and the oncologists don't always have a definite answer.They sprout statistics and leave it up to you.From my experience(twice on the bc ride) when more than one doctor is saying you MUST have chemo then you probably need it and should have it. I had a lumpectomy,full node clearance(all clear) and radiation back in 2003. My pathology was almost identical to yours and bc size was 2cm. I didn't have chemo and I didn't follow through with Tamoxifen.I was 47yrs old and it soooo didn't agree with me -I tried for 3 months.Well 7 years later bc came back in the exact same spot-grew to 3cms in a year-same pathology.I had to have a mastectomy and then strongly advised to have chemo.I was reluctant but went ahead.I think I must have had an elephant's dose of Taxotere because I ended up in isolation ward with no white cells and on an iv drip for 4 days.Now some women breeze through chemo and some of us don't. When my oncologist visited me in hospital ,I told him I wanted to stop chemo.Surprisingly,he was ok with that so long as I took Tamoxifen which he said,would be more beneficial to me anyway!.If I had a crystal ball,I would go back to 2003 and have a mastectomy and take Tamoxifen no matter what.I could then have choice in reconstruction and would have missed chemo.I have a girlfriend with similar bc pathology as me and also diagnosed in 2003-same surgeon and onc.She had a mastectomy,full node clearance and then took Tamoxifen for 5 years.She is now 10yrs on and fine,healthy as! This is just my personal story and ultimately,you will have to go with what feels best for you.Sometimes it feels like you are dammed if you do and dammed if you don't. Good luck with what is the hardest decision on this awful ride.
Tonya xx
