Hello @JaneinMelbourne
I can only tell you how I made my decision, which is not a suggestion for you.
I was 39 at diagnosis, with a stage 1 hormone positive bilateral and multi focal bc. I had a double mastectomy. Originally, my surgeon suspected DCIS and told me if I had DMX I probably wouldn’t need chemo or radio. After surgery though it turned out it was IDC and I needed radiation. As for chemo, everyone (surgeon plus two oncologists) told me that it was a grey area without the oncotype dx test. I didn’t do it as it was too expensive and I had multiple tumours. So after using the Predict tool online, I was told I had about a 1% benefit and it was up to me if I wanted it. My onco told me he was comfortable without me having chemo, but also recommended it due to my young age. He also told me having a recurrence wouldn’t be because I didn’t do chemo, and doing chemo wouldn’t mean not getting a recurrence. So that made the decision for me. I already told myself I’d only do it if it gave me a good percentage of stopping recurrence. The way I saw it was, it’s poison. It would’ve done permanent damage to a lot of organs already in great working order. It would’ve made me feel sick when I was feeling well. All that for 1%. I thought to myself I’d rather have my body in good working order and keep my immunity as high as possible to help me fight off anything else in the future I might need to. There’s hardly ever any guarantee anyway, even the specialists are guessing sometimes, so I pretty much used those arguments, plus my intuition, to avoid chemo. I’m happy with my decision, and of course hope I’ll be cancer free from now on.
Hope you are happy with whatever you decide.
Mon Xx