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Small pr+ and tamoxifin

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Topic: Small pr+ and tamoxifin
Posted By: sassygirl012
Subject: Small pr+ and tamoxifin
Date Posted: Dec 14 2013 at 11:29am
I have 10% pr+ but er and her2-. Wondering if tamoxifin would be a possible benefit for me?

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Dx May 2013. Invasive ductal card. Grade 3. Stage 2A. 1 node positive 3.5mm. Lumpectomy with clear margins.
ER- PR+(5-10% 2+ intensity), HER-2 NEG. BRCA NEG.
Treatment: TCx6 and 33 rads.



Replies:
Posted By: dmwolf
Date Posted: Dec 17 2013 at 4:32pm
YES, you should take it.  10% is not that low.



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DX 2/08@43 stg II IDC; gr2,0 nodes. Neoadj chemo, first ACx2 (fail) then CarboTaxotereX6(better). Lump, Rads done 11/08; Clodronate. False alarm queen: PetCT lung & TM marker. NED. PBM w/recon 9/10.


Posted By: 123Donna
Date Posted: Dec 17 2013 at 7:29pm
Denise,

Is Tamoxifin used for progesterone positive too?  I thought it was only estrogen positive that Tamoxifin benefits.  I learn something every day!  Thanks

Donna  


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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15



Posted By: Charlene
Date Posted: Dec 18 2013 at 4:55pm
Actually I was under the same impression--that estrogen was the determining factor, not progesterone.    An ER negative, PR positive cancer is one of the more rare types, isn't it?
 
Just asking . . .
Charlene


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DX 3/10 @59 ILC/TNBC
Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision
SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads
3/14:NED


Posted By: dmwolf
Date Posted: Dec 18 2013 at 7:07pm
Yes, tamoxifen is used for hormone receptor positive breast cancer.  That is any breast cancer with ER and/or PG expression of at least a few percent.      In your shoes I would definitely take it.


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DX 2/08@43 stg II IDC; gr2,0 nodes. Neoadj chemo, first ACx2 (fail) then CarboTaxotereX6(better). Lump, Rads done 11/08; Clodronate. False alarm queen: PetCT lung & TM marker. NED. PBM w/recon 9/10.


Posted By: 123Donna
Date Posted: Dec 18 2013 at 8:01pm
Denise,

You teach us something new everyday!  Thank you friend!

While this is from 2005, I found this reference:

 Finally, in view of recent trials showing a significant advantage for the sequence of tamoxifen followed by an aromatase inhibitor, it is an intriguing possibility that PR status could be used to select initial therapy. ER- and PR-positive tumors might be best treated by tamoxifen followed by an aromatase inhibitor, while ER+/PR− tumors might receive initial treatment with an aromatase inhibitor because of their relative resistance to tamoxifen. This hypothesis should be tested in ongoing clinical trials.

http://jco.ascopubs.org/content/23/4/931" rel="nofollow - http://jco.ascopubs.org/content/23/4/931

Donna


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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15




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