• Peglove Peglove
    December 07, 2009
    What is the Oncotype DX test for?
    Peglove Peglove
    December 07, 2009

    I have been told I need to have chemo, but have not had the oncotype dx test done. Why is it necessary? What does it show? Is it mandatory? Is it beneficial if I already know my sentinel node was positive for cancer?


    Thanks, Peg.




  • Laura A. Learn-Hack December 08, 2009
    Laura A. Learn-Hack
    December 08, 2009

    You can go to genomichealth.com they are the ones who analyze the sample and have a wonderful site that answers any and all questions. I had the test and am participating in there study. It can be a very useful test, and can give you piece of mind about your odds of reaccurance. good luck. LauraLaughing

  • mom of 5 December 10, 2009
    mom of 5
    December 10, 2009

    I also was told I would need chemo as I too had a positive sentinel node; however when the oncotype dx test came back with a very low score, my team (surgeon, radiologists, oncologists) nixed the chemo.  I was very concerned about this as I had 2 yr old twins at the time & definitely wanted to improve my chances any way possible, so I doublechecked with two sources I was fortunate enough to have access to.  One is the head of the breast center at Johns Hopkins and the other is a breast cancer specialist at Georgetown.  Both said that with a low oncotype score, they would NOT recommend chemo.  In fact, one said she wouldn't give me chemo even if I asked for it!  Basically, my understanding is that the oncotype score gives the likelihood of recurrence & gives an indication of how helpful chemo would be.  My surgeon said he has a patient who was given chemo prophilactically (sp?) who developed a leukemia that is non-curable. 

    Hope this helps.  Good luck!

    • PJ Hamel
      December 10, 2009
      PJ Hamel
      Health Guide
      December 10, 2009

      Thanks for pointing out the downside of chemo - it definitely does a long-term number on you. Absolutely helps to have access to the Oncotype test - wish they'd had it when I did chemo, I might have dodged that bullet! PJH

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