This is Dr. David
I am a cancer doctor.
I'm glad you had an oncotype test.
I would get the chemotherapy.
TC chemo would not cause you to loose your hair.
there is no adriamycin in the mix.
it improve your control of systemic disease.
tamoxifen can help decrease risks for systemic spread of disease as well.
after chemo, you could become menopausal and then you will need a AI or aromatase inhibitor therapy.
radiation is still needed if you had a lumpectomy.
I think the chances of the chemo benefiting you is greater than the risks from the chemo
you can also use the negatives to try to help you make the decision
would you be more upset if you didn't get the chemo and a metastasis from your breast cancer or if you got the chemotherapy and had some mild neuropathy from the chemotherapy?
most patients would be more upset if they didn't get chemo and had a recurrence of their breast cancer.
let me know if you have other questions.
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