Hi - With your diagnosis, I'd guess that you'll get a "chemo is optional" opinion from whatever doctor you speak with. Aside from the Oncotype score, which is bordering on the high end of "don't need it," all of your pathology points towards not needing chemo. Has your oncologist given you the recurrence statistics with and without chemo? That might help you out. If your chance for recurrence is, say, 3%, and chemo takes it down to 2%, you might think twice.

Truthfully, chemo is tough (though not as tough as it used to be), but more important, may leave you with a host of lasting side effects - side effects you may deal with for the rest of your life. It may possibly put you into menopause, which will deprive you of estrogen way before your normal time - which causes a lot of unpeasant side effects in and of itself (including thinning bone density, painful sex, and thinning hair). Chemo may possibly cause long-term tingling and pain in various body parts. Or itching. Or bleeding... And I mean long-term, for years.

I'm no doctor, but with your diagnosis, I wouldn't say waiting another 2 weeks for a second opinion would make a difference. Personally, I didn't start chemo till 15 weeks after diagnosis. I understand wanting to do everything you can to prevent a recurrence - because that's what I did. Now, I wish I'd known how long I'd deal with the aftermath... So, just go in with your eyes open, OK? Good luck - PJH