Deciding whether or not to have chemotherapy

Hi I've recently had my oncotype DX report and my score is 24. I'm 44 years old and premenopausal, after a discussion with my oncologist I feel I've come away none the wiser???? 

I had a lumpectomy and was told I had micrometastases, where the closest lymph node was just showing signs of cancer.

Initially I was adamant that if chemotherapy was my choice I wasn't going to have it, however I now kind of wish it wasn't. I'm really struggling to make a choice and don't feel like I've been given a good case either way, I don't understand how I'm supposed to make that choice if my oncologist can't.

Please help 

MJ

 

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  •  

    Hi MJ,

    This is always a difficult decision to make, especially when you feel that you don't have all of the answers you need to decide. You might find it helpful to draw up two different lists - the first with all the questions you need to ask your consultant, in order to reach the right decision - the second a sheet of paper with 2 columns, one for and one against chemo.  

    If there is anything that you are unsure about, don't hesitate to ask your consultant or your nurse. Ask them what they woulld suggest if you were their partner. This is very much an individual decision at the end of the day and one that only you can make. However, you need enough information to be able to reach the right decision for you.

    If you were to ask people who have faced this situation themselves, you would probably find that you get a mixed reply. Every cancer is individual to the person that has it. It relies on so many other factors too - age, general health, genetics, hormones, lifestyle, etc all play their part. 

    The people who know most of these facts are in your care team, so they should be best placed to help you. Whatever you do eventually decide, I hope that it is the best possible decision for you.

    Please keep in touch and let us know how you get on. We are always here for you.

    Kind regards,

    Jolamine xx

     

  • What frightens you personally about chemo? You will read horror stories but I've had 8 cycles with very few side effects. Never felt sick and  carried on with my normal life. Doctors today are very good at managing any side effects you may have. 

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