Dr Marcus recommended an oncologist, Dr. Chitra Rajagopal (Dr Raj). We visited Dr Raj shortly after June 20th.
After assessing the situation Dr Raj recommended Zolodex (quarterly) and Tamoxifen daily for the hormone treatment. The side effect are simliar to those of birth control. Amy will be experiencing a temporary menopause.
Dr Raj considered several factors and severity (low, medium, high):
1. Size of tumor (1 cm) – 1-2 cm is considered medium
2. Hg L/N? (0) – Low
3. ER/PR – (80%/100%) – Hormone related cancer (Low)
4. Grade – (II) – medium (based on Nottingham score) (how different is the cancer cell from normal cell)
5. Lympathic Vascular invasion (negative) – Low
6. Her 2 – (negative) – low
7. KI – 67 (24%) – medium (cell proliferation)
