grade 3 Ductal carcinoma ER 6 PR 4 HER2 Negative, Oncotype DX 47

I have been diagnosed with Ductal carcinoma and I'm due to have chemotherapy, next week, Epirubicin and Cyclophosphamide, for 3 rounds then docetaxel for 3 rounds, i know this will make my white blood cells low, but im worried because i have a autoimmune disease called polymyalgia rheumatica which lowers my red blood cells and immune system, so im worried how having low red and white blood cells will effect me .

  • Hello and thanks for posting

    Having chemotherapy while already having an autoimmune condition does increase your risk a bit, making you feel more tired and you need to be extra careful about infections. But this is something your healthcare team deal with often and they will monitor your blood counts closely during your treatment.

    If needed, they can delay your chemotherapy for a time if your white blood cell count is too low to have the next course of treatment. If it keeps happening, they may consider adjusting your chemotherapy dose.

    Tell your healthcare team straightaway if you feel unwell or have a temperature over 37.5°C. Follow sensible precautions such as handwashing regularly, avoid contact with people who have colds or coughs, and ensure you get plenty of rest.

    I hope this helps. Give us a ring if you would like to talk anything over. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Celene