More good news and bad news.

In good news my HER2 test is falls in the low to intermediate range and my OncoDX test is good.  This means chemo probably will not be recommended.  Tamoxifen is recommended, which reduces my chances of re-occurrence to about 13%.  I asked what are the odds of re-occurrence without the drug but Dr. Rahm didn't know the answer to that.  She is setting up an appointment with an oncologist, I will ask the oncologist.

In bad news, on further testing, one lymph node (of the 3 removed) showed .3 cm of cancer.  Dr. Rahm is having that retested.  If it is indeed only .3 cm then nothing further will be done, they will let radiation take care of it.  If however it is more than .3cm then more lymph nodes will be removed.

In further bad news, the extra breast tissue removed came back with more cancerous cells. It is DCIS, in situ, which is the non-invasive type.  Since the margins are not clear  I will likely have probably another surgery to remove more breast tissue.  Dr. Rahm said at least 3 times in our brief conversation that she likes to have clear margins.

To recap...good news probably no chemo...bad news probably more surgery.

I see Dr. Rahm again on Friday and should know when/if there will be another surgery.