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A member asked:

What is the best treatment for s tage 2a breast cancer in a 63 yo male. no nodes were positive and pet ct scan was negative. er positive.?

2 doctor answers4 doctors weighed in
Dr. Aasim Sehbai
Medical Oncology 25 years experience
Prognosis : Prognosis is excellent. I would still want to know size of tumor, grade, if there is presence of lymphovascular invasion, perineural invasion, ki-67 index, her 2 status, adjuvant online prognosis and finally the new molecular test oncotype DX or mammaprint, before giving my final opinion regarding the need for chemotherapy or not? Age is also imp and so is family history.
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Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Tamoxifen: After a mastectomy, use of tamoxifen in an er+ tumor has the best historical experience for this rare condition in men. The decision to use chemotherapy may depend on comparable metrics used for breast cancer in women such as size of tumor, grade, presence of markers (her2neu, high ki- 67). Though no data in men, oncotype DX theoretically can help with treatment decision about need for chemo.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Apr 16, 2016

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