Thanks all. I got my prosigna results, high at 44 and 17% risk of stage 4 over 10 years. They said chemo would reduce that by around a third and hormone tablets by around a third with ovary injections or ovaries out.
I was given the choice of 3 chemo regimes all over 3 months if go to plan. 1 Doc / cy every 3 weeks x 4. Can cold cap with 75mg x 4. 2. I think EC/cy (not entirely sure) every 3 weeks x 4, oncologist said this has mostly been abandoned in favour of 1 as increased risk of heart issues. 3. Pax weekly x 12 weeks. No cold cap available.
She said I could also do no chemo but they recommend it. I have to go in on Thursday to sign papers and say which one. 2 seems an obvious no, all 3 she said had similar success rates. 1 she said would come with injections, 5 after each one, I am not great with injections. She said side effects between doc and pax are similar but doc as 3 weekly is very rubbish week 1, rubbish week 2 and ok week 3, pax is rubbish every week but more evenly rubbish. Asked her about permanent hair loss stats and she looked it up and got same stats I got of 23% on Doc and 10% on pac and worse if having hormone therapy but then she said she was shocked how high those were and she thought was lower than that. I did find a second study which says the worse permanent hair loss category with doc is when you have 400mg plus and none in that category below it and I asked her how much and she said its 75mg x 3 so 300mg so maybe OK. She said pax is better for hair loss return.
She said won't get a picc straightaway and more risk on the weekly and will try with cannulas. They struggled already second surgery so not sure how that will go. I will get a bone scan as well. Not sure when it will start but guessing within next few weeks. I have an appointment with radiology for 25 May and one for adrenal issues on 23 March. So non-stop fun here.
Not sure which to choose. DD told me to do the weekly pax as she said I will just bin injections, and I won't cope well with the very rubbish week, and I should not be bothered by going bald as it is in fashion now and you can either remodel yourself as a feminist who embraces boldness or you can get wigs from shein and be trendy. She said she doesn't understand my obsession with having hair.
I asked a few people and so far the votes are mainly for weekly pax. DD also said I should not cold cap as it will be boring and she watched a video and the lady died. She then added not by the cold cap by the cancer. Not sure I am generally fine with cold but get quite ill with meds so its the part after not sure would get through.
Top Your optimism is fine and thanks so much for the good wishes. Hope you have a lovely trip at Easter.
So sorry to hear that MissSmiley I hope they sort something soon.
sandwich hope the weekly pax goes OK.
Podge Hope you have a job still and thanks for the information on cold cap.
Thyme Thanks for your lovely message, it cheered me up thinking about the pets. I bought the rabbit a birthday cake yesterday and he was happily munching away on it whilst the silkie was asleep in her house. She keeps borking for 15 mins each day when she lays an egg, our neighbour must wander what on earth is going on in our house. The cat was getting very grumpy at DD and DH talking to me about cancer things, she gets very jealous if I get attention, and so both had to give her lots of cuddles.