Community Member
a year agoDouble mastectomy for er+/pr+ dcis. No invasion of cancer on pathology. Oncology said start hormone blocker, surgical oncologist says it’s not necessary. What to do?
Accepted Answer
Having different recommendations from specialists can feel overwhelming, especially when making decisions about hormone therapy after such a major procedure. This situation where oncologists and surgeons have different perspectives happens more often than many patients realize, particularly with DCIS cases. Consider getting a third opinion or asking both doctors to explain their reasoning in more detail, and remember that the final choice is ultimately yours to make with all the information you can gather. Many others in this community have faced similar decisions between specialists, so sharing experiences here might help you feel more confident about your next steps.
3+ patients found this helpful
Community Member
6 months agoI would listen to my oncologist…but you can always request a second opinion from another reputable hospital.
Community Member
6 months agoIt depends the composition of those cancerous cells. Not everyone has the same composition. Do you know the results of the biopsy? You have to check if your cancer has the characteristics of one that might come back many years from now. That is the risk, and that might be the reason your oncologist is recommending treatment. Those cells composed of micro papillary might come back. A second opinion will be the best along with checking the report from the biopsy. Good luck
Community Member
6 months agoMy radiation oncologist said that aside from the surgery, the “anti-hormone” therapy was the most important thing I could do to guard against recurrence - even more important than the radiation and chemo! I don’t like the side effects, but I’m going to stick it out. Only three years to go! 😉
Community Member
6 months agoLiz, good for you! I am trying to be positive! I am going to start my treatment in January. I going to exercise to see if that is going to help me with the side effects. We are all here together for a common cause! Good luck
Community Member
6 months agoFollow oncologists advice
Community Member
2 months agoHaving different recommendations from specialists can feel overwhelming, especially when making decisions about hormone therapy after such a major procedure. This situation where oncologists and surgeons have different perspectives happens more often than many patients realize, particularly with DCIS cases. Consider getting a third opinion or asking both doctors to explain their reasoning in more detail, and remember that the final choice is ultimately yours to make with all the information you can gather. Many others in this community have faced similar decisions between specialists, so sharing experiences here might help you feel more confident about your next steps.
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