Hi,I am Dr. Amitkumar Sharma (Internal Medicine Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
Hi Doc, I got a Skin Sparing Mastectomy done on my right breast on March 30th, 2011 as the tumour was malignant. Post that i completed my 8 cycles of Dose-Dense Chemotherapy followed by 28 fractions of radiation therapy. My ER & PR were positive & hence now i am on hormone therapy taking 1 (10mg) tablet of Tamoxifen daily & will have to do so for the next 5 years. My Onco yesterday also advised that i get Injection Zoladex for 2 years (@ 3.6 mg monthly or 10.8 mg quarterly). I am 36 years unmarried. I do understand that zoladex will suppress the function of the ovaries for 2 years. I have attached my post surgical report. My ques:1) Basis my report is it advisable to get Zoladex shots ? and for a duration of 2 years ?2) Why is 2 years considered an ideal period for the Injections & not 3 or 4 years ?3) What is the difference in function of Tamoxifen & Injection Zoladex ?4) And kindly advise the follow up treatments in my case with the periodicity.Look forward to hearing from you.Brgds, Pallavi
Most clinical trials were conducted with 2 years of Zoladex. Tamoxifen alone is perfect for premenopausal women, but adding Zoladex confers some additional benefits. One of the benefits is increase in survival and second - less fertility issues after stopping treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Malkhaz Jalagonia, Internal Medicine Specialist
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Why Is 2 Years Of Zoladex Ideal Post Mastectomy?
Hi, Most clinical trials were conducted with 2 years of Zoladex. Tamoxifen alone is perfect for premenopausal women, but adding Zoladex confers some additional benefits. One of the benefits is increase in survival and second - less fertility issues after stopping treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Malkhaz Jalagonia, Internal Medicine Specialist