My breast cancer treatment plan

My breast cancer treatment plan is not really settled. And why is that? The reason is caused by one tiny micro metastasis in one of seven sentinel nodes extirpated during my surgery, and not five as I may have mentioned in a previous post. I was operated BCT with sentinel node January 16 th. My BCT and sentinel node surgery
My surgeon is not conclusive when it comes to chemo therapy. So if it didn’t was for the micro metastasis, 3 weeks of radiation would be enough. In addition I need anti hormones treatment and Zoledronacid (Zometa) every 6 month for five to ten years.

Chemo therapy or not?

First of all, my tumor was 4 cm instead of 2.5 cm as the radiologist told me according to the MRI scan. I was in chock to be honest and really disappointed, and at the same time happy. Since there was only a micro metastasis the cancer has not spread in my body through my lymph system. My blood samples were also fine, so the size of the tumor and the micro metastasis are two reasons to have chemo my surgeon said.
The reason not having chemo is my tumor grade. It was graded as grade 1 which means that it is not so aggressive. At least that is some comfort to me.
A friend of mine told me when she was operated for breast cancer back in 2003, she experienced exactly the same dilemma as me. So when it comes to micro metastasis, nothing much has changed during the years. February 17th I am going to have a meeting with my oncologist. I don’t have much of an option really, because of the insecurity and my fright for a recurrence. I got to have the chemo therapy. How would I dare not to?
My surgeon told me that they are thinking about four rounds of chemo EC90. I will loose my hair, but that doesn’t matter in the long term. So this is what I know for now about my breast cancer treatment plan.

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