• Should everyone get an oncotype DX test if they have breast cancer?

    Asked by Suehendo on Friday, February 1, 2013

    Should everyone get an oncotype DX test if they have breast cancer?

    8 Answers from the Community

    8 answers
    • karen1956's Avatar

      It depends on the stage of breast cancer....it is to determine the benefits of chemo....for me when I was Dx 7 years ago this month, the oncotype DX was not out and was not being used for node positive.....for me chemo was indicated...Talk to your oncologist and if your unsure, get a second opinion...

      over 5 years ago
    • nancyjac's Avatar

      No. There is specific criteria for the testing and if you don't meet it, it insurance will probably not pay for it.

      over 5 years ago
    • DorothyV's Avatar

      I didn't. I had pretty much decided to do chemo and radiation so I would know I had done all I could do to rid myself of the cancer. If it came back with a low number, I might have opted out of chemo, but I didn't want to be swayed from my original decision. It's really a personal decision and your onc can help you decide. Good luck whatever you choose. God bless :)

      over 5 years ago
    • attypatty's Avatar

      Dear Suehendo:
      Yes, if your BC is early stage or if there are not other existing factors that dictate the need for chemotherapy. The Oncotype test measures the aggressiveness of the cancer and is used to predict whether or not chemotherapy will reduce the risk of recurrence. If there is lymph node involvement or a large tumor or both, your onc may have already decided that chemotherapy is needed, in which case, he/she won't order the Oncotype test (it's expensive). However, if you have an early stage and no lymph node involvement, you should have the Oncotype test performed. It can help tremendously in deciding whether or not to have the chemotherapy. In my case, I had Stage 2, tumor size of 2.5 cm and no lymph nodes. The Oncotype test revealed that the cancer cells were of an aggressive type and predicated that without chemotherapy I had a 35% chance of recurrence. It was a chance I did not want to take, but I wouldn't have know that without the test. Without it, it is likely I would not have been offered chemotherapy because of the early stage and no lymph node involvement. I would demand every tool in the box, every weapon in the arsenal to fight this disease.
      Fight On,

      over 5 years ago
    • april485's Avatar

      What about in the case of DCIS? Would an oncotype dx test be helpful in determining the value of rads and/or and AI or Tamox? Will they do this automatically? I really don't want radiation if I can help it because it is my left breast and that means possibly radiating my heart and my left lung. So scared!

      over 5 years ago
    • MarnieC's Avatar

      Hi Suehendo - I've got a little more info on my website about the Oncotype DX test. I don't want to be accused of spamming here, but since you've asked the question and I might be able to help, here's a link to the article I wrote: http://marnieclark.com/category/oncotype-dx-test/ I sincerely hope that helps you.

      over 5 years ago
    • debsweb18's Avatar

      If you are post menopausal and have lymph node involvement, you are still a candidate for the test. The test is only for evaluating the need for chemo, not radiation or AIs. I had a very small tumor on 1 lymph node, but my oncotype DX test came out 9. Chemo would not have been a benefit. However, I did have radiation even though I had a mastectomy and take an AI.

      over 5 years ago
    • SandiD's Avatar

      See what your doctor recommends. Then make sure the test is covered. My oncologist used the test to help, but not solely to determine treatment. April, radiologist are very precise now and try very hard not to hit the heart or lungs. Remember, this fight is not about what WE want, it is about beating cancer! For me, I will do whatever it takes to beat it. Good luck!

      over 5 years ago

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