Reply to Declining tamoxifen for stage 0 breast cancer

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[quote=Anonymous][quote=Anonymous]I declined tamoxifen and have no regrets. I’m premenopausal and there is a calculator that your doctor can run to tell you your risk of reoccurrence with different treatments and combinations. I had a lumpectomy and radiation and taking tamoxifen would barely make a difference in chances of recurrence.

Also, as far as the poster mentioning mastectomy, [b]the long term outcomes for DCIS are worse for mastectomy than for lumpectomy and radiation[/b]. [/quote]

Do you have any evidence of this?  The studies all say the same thing - the survival rate is the same. Lumpectomies have a slightly higher recurrence rate than mastectomies, which makes sense - there’s more breast tissue left behind, so more opportunity for a recurrence.

I could possibly see how mastectomy would lead to worse outcomes bc there’s no way to continue surveillance (ie can’t do mammogram or MRI), so maybe a recurrence can’t be caught until it has metastasized, whereas a lumpectomy allows the patient to continue getting mammograms or MRIs and therefore a recurrence could presumably be caught early… but I’m not aware of any data that says that. [/quote]

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