Getting contradictory advice on taking letrozole

Hello,  I have never heard that letrozole or any of the hormone blockers had a size limit to be recommended.  I live in Florida and had a small 3mm IDC with 6 mm DCIS in one breast and DCIS in the other.  Both  were ER and PR positive so have been on Anastrazole.  Both the surgeon and medical oncologist agreed on prescribing me the hormone blockers for 5 years.  
Definitely an important question to have clarified.  I would want to see study results too and have never seen this issue studied.  
Take care snd be well.

Thanks Barbara. I’ve searched online and also can’t find anything on a size limit for prescribing hormone blockers. So I’m inclined to just stick with the advice of the oncologist and not query anything. Better to do too much than too little. And other than night sweats (which I already had anyway) I don’t have any side effects from letrozole yet, so think I’ll just carry on.

Im in the Netherlands btw, so interesting to hear how the advice might vary per country.

Take care and hope you’re doing well.

Beck
 

Hi Beck.  I have never heard of hormone blockers and size of tumor before either.  I would stick to the letrozole to prevent it from coming back.

Lee x

Hi to you and I also find it interesting to see the different protocols in countries.  So glad you are not experiencing any of the other symptoms from the AI’s.  I have some from Anastrazole but am carrying on with less than 2 years to go.  Vaginal dryness was a big issue and it is called genito urinary symptoms of menopause or GSM.  
So hot and humid here and really sick of the heat.  Got a few more months and then cooler weather.  Hot flashes and hot weather are awful.

Hi Beck,

I’m another who hasn’t heard of letrozole prescription being related to tumour size. I’ve understood that oestrogen receptivity, grade and proliferation potential were key.

Once you’ve had the lumps removed pathology on the tissue taken should confirm what is known about your cancer and also give further detail for your oncologist to work with when deciding what best to prescribe.

Since the surgeon has suggested you ask about the letrozole, it shouldn’t be a problem to do so- I would tend to go with what the oncologist recommends in the end.

All the best xx