To accept treatment or not

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My consultant surgeon stated my treatment plan for a small early, primary oestrogen positive breast cancer would be surgery/radiotherapy for 5 sessions/letrozole. There were traces in a lymph node but all has been removed successfully.

I am 'cancer free' following surgery on 25/11/25 

Oncology have offered 15 sessions of radiotherapy but I have opted for 5 and they have been very open to the fact that I often don't react well to medication and will consider a change to a different medication if I react badly to letrozole.

My dilemma is that they have offered to also treat me with ribociclib for three years (a new protocol) and given me an information sheet. Although I am very grateful, I find the idea quite concerning because of the possible side effects and because my surgeon didn't consider it in his treatment plan. 

I am going for my planning scan appointment next week and would appreciate hearing of any one else's experience of this and what questions I should maybe be asking next week.

Many thanks

  • Hello  

    I am Brian, one of the Community-champions here on the online Community. I have just noticed your post and wonder if you will get a better response if you joined and posted the above in our breast cancer group where it will be seen by others on the same or similar journey - here's the link you need:

    Breast cancer forum 

    Once you click on the link and the page opens up, click on "join" on the black banner at the bottom of the page. You can then either repost or copy and paste your post above in the "New Here - Say Hello" section.

    I hope the above helps and you get the information you are looking for.

    If you need any further help in navigating the Community please do let me know.

    Best wishes - Brian.

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  • I’m on Ribociclib and although I’ve had a lot of the side effects my oncologist warned me about I’m still able to get up every day thinking “this is better than the alternative”. 
    You could ask your consultant whether you can try it for a month or two and what will happen if you then decide you want to give it up. After all, you might get few or no side effects or you might decide they’re bearable. 
    Good luck. 

  • Thank you and I wish you well.