We just got back from our first oncology appointment with Dr. Wilder. We were hoping to get a complete plan of action today but they want to do additional test on the tumor/tissue to determine the best form of chemo. From what we know now, the mass removed was relatively small, the lymph nodes are clear and the breast is clear of cancer as far as they can see. However the type of cancer found inside the mass is a very aggressive form. We can not see all of the tiny cells that may be wondering in her blood stream. In order for the cancer to not surface elsewhere in her body, such as her bone, brain, liver, lungs etc… An aggressive chemo will be necessary.
The breast tissue / mass has to go through a test called an Oncotype DX. This test determines the biology of the cancer and will tell us the exact type of chemo needed. The test takes about two weeks to get results back. So our vacation next week will come at the perfect timing.
We will meet with Dr Wilder when she gets the test results back. As of right now her predictions are six months of chemo (every two weeks), radiation every day for six weeks and an oral pill for five years.
Chemotherapy and the pill will both decrease Heather’s ability to reproduce. We have an appointment with the fertility doctor to discuss options to help preserve what we can. Still no promises. This is one of the hardest parts for both Heather and I.