Oncology Questions? Ask an Oncologist for Answers ASAP
This is Dr. David
you need testing to check for BRCA1 and 2 mutation since you are having breast cancer so young.
if you have children or daughters, this will be important genetic information for them.
you might benefit from oncotype genetic testing of the 6mm small left sided invasive breast cancer which was her-2/neu positive.
that could give more information about your systemic risk from that small invasive breast cancer.
to see if you might benefit from chemotherapy and herceptin or possibly just herceptin therapy
it sounds like you will benefit from tamoxifen therapy either way
let me know if you have questions.
if you are BRCA1 or 2 positive the longer you keep your ovaries in, the longer your risks are for ovarian cancer.
if you have a high oncotype score, you could be at risk for metastatic spread of your breast cancer, even if it is small and even if it didnt' spread to lymph nodes. herceptin is usually given with chemotherapy to decrease risks of cancer spread to the rest of your body
women who have breast cancer before age 50 have a much higher risk of having an aggressive breast cancer.
you don't want to avoid cancer therapy you need to try for a baby and then develop metastasis when you have this baby.