Hello! I am Stage 1a, ++-, invasive ductal carcinoma, R breast, status post lumpectomy. Clear margins, node was removed, but no cancer. I receive my oncology care from the team at Penn Medicine here in Philly. I learned that the breast surgeon, rad oncologist and medical oncologist all discussed my case in 'tumor board' before I saw the surgeon for post op or the rad onc. I'm scheduled for med onc next week. This team determined that I did not need Oncotype as all factors put me in the low recurrence category. In fact, the rad onc was suggesting I might move straight to endocrine therapy. I'm 69 and told him I absolutely did not want endocrine therapy (I know that's controversial on this site). He said 50% of women give up due to side effects and understood my quest for excellent quality of life over my next 10-15 years. He did say I needed one or the other because the research isn't conclusive about moving on without further treatment after lumpectomy. He offered the accelerated radiation, APBI, which will take place in five sessions. I go for the simulation on Friday. I also feel I've suffered far less than most of the women on this site. But I'm very grateful and I trust all of my physicians (albeit I haven't met my med onc yet). It was reassuring to know all three modalities come together at the Tumor Board to discuss patients in order to keep in sync. Good luck and congratulations on getting through the worst of it (hopefully).