Tamoxifen treatment

[april456]

Hi! I’m 46 y.o. was diagnosed with a right breast cancer in June 2008.
I had lumpectomy, and than reexcision with clear margins 0.6 cm.
LCIS, DCIS and Invasive carcinoma with tubulolobular features
EIC : Absent.
Tubule Formation- 2 ; Nuclear Pleomorphism- 1; Mitotic Count -1;
Total Nottingham Score : Grade 1
Size of Invasive component: Greatest dimension 0.9 cm.
Venous/lymphatic invasion –absent
Microcalcifications- present in non neoplastic tissue, Necrosis- absent
Primary tumor – pT1b , pNO (i-) examined-3 involved- 0
ER +, PR +, HER2/neu –
ONCOTYPE Dx- 15  with ER score 8.1 and PR score 7.3
I almost done with my 33 radiation treatment.
Question: according my oncology MD  I need  to take Tamoxifen for 5 years, but according to Practice Guidelines in Oncology from NCCN I don’t need to take Tamoxifen.  What will be your recommendation about my feature treatment? Thanks a lot.

[rockchalk76]

April - I wish I would have received the amount of information you did on my pathology report!  I was happy with my treatment at the hospital the day of surgery, but NOT happy with the lack of detail on my path. report.  Those are the things I expected to see from my reading.  Did you receive some of that information because you had the Oncotype Dx test?  I do know that my doctor made sure I saw what the NCCN guidelines were for my case.  Hope you get the information you need to make an informed decision. - Kay

I am still very new to all of this, but wondered about your age as a factor.  Have you gone through menopause?  

[japdip]

Tamoxifen is always recommended following radiation after lumpectomy when the tumor is ER/PR+. The usual course of treatment is for 5 years. This is the standard medical treatment in cases as noted above ... I can't imagine it NOT being recommended by any publication; unless of course the tumor was found to be ER/PR neg. Then it would be of no value.    Regards ....