Dont´want to get taxol x4

[MariadelRo]

I´m 64 had a lumpectomy and they found 2 positive nodes, my cancer is left mammarian carcinoma stage I  by t2 n1m0 hormone dependent, I been told that they are going to give me acx4 + tx4. My question is that I don´t want to get taxol what happens if I only get the acx4? and I´m also supposed to have radio
Thank you

[Kamal S Saini, MD, MRCP (UK), DM]

Hi Maria,
FAC x 6 is another alternative you can discuss with your doctor if you do not want a taxane.
FAC is reasonably well tolerated.
What is the HER2Neu status?
All the very best.

[MariadelRo]

Dr. Saini,
Thank you for your advice, my tumor size was 2.1 cm. I still feel strong about not getting de taxotere (before I wrote that I was getting Taxol but i'ts not) what is the percentage of recurrance. I'm going to have radiation my problem is with taxotere

Thank you
Maria

[Kamal S Saini, MD, MRCP (UK), DM]

Hi,
ACx4 followed by taxol is one of the standard regimens for adjuvant treatment of node positive breast cancer.
As per current evidence only ACx4 (without taxol) would place you at a higher risk for disease recurrence. Your big initial tumor size of T2 is a risk factor. The fact that the tumor is hormone receptor positive is a good prognostic factor.
Radiation therapy is also indicated in your case since you have had a breast conserving surgery and node positive disease.
All the best, and God Bless!