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Will my breast cancer recur even after treatment at 49?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 49-year-old woman recently diagnosed with HR-positive/HER2-negative breast cancer, and I am feeling overwhelmed by all the information I have received.

  1. Could you explain what this subtype means for my treatment options and overall prognosis?
  2. I understand that hormone therapy is used; how does it work, and what are the potential side effects?
  3. Are there specific genetic tests I should consider that might influence my treatment plan?
  4. I am also concerned about the risk of recurrence. What steps can I take to minimize this risk, and how long will I need to be monitored?
  5. Lastly, I am worried about the impact of treatment on my fertility. Are there options for fertility preservation that I should discuss with my oncologist?

I want to make informed decisions about my care and understand what to expect in the coming months and years.

Kindly help.

Thank you.

Thank you.
Answered by Dr. Mohamed Abdirahman Ali

Hello

Welcome to icliniq.com.

Thanks for your query.

Women at this age are more prone to developing breast cancer.

  1. HR-positive/HER2-negative means that the tumor is hormone receptor-positive and HER2-negative, which generally indicates a better prognosis compared to triple-negative disease.

  2. You may need hormonal therapy for this type of tumor for around four months. This therapy may have side effects such as night sweats, weight gain, and osteoporosis.

  3. It is important to know if you have already undergone any other workups, such as assessing tumor size, axillary lymph node involvement, or any distant metastasis.

  4. Genetic testing for BRCA1 and BRCA2 is also available.

  5. The risk can be minimized by early detection, maintaining a healthy lifestyle (for example, exercise, weight loss), avoiding radiation, and breastfeeding.

  6. We can then discuss the further management plan. Please let me know if you have already had a mammogram, biopsy report, or assessment of the axillary region.

I hope this guidance helps you.

Please do not hesitate to reach out if you need further assistance.

Thank you.

Answered byDr. Mohamed Abdirahman Ali

Medically reviewed byiCliniq medical review team

Published At October 1, 2024
Reviewed AtOctober 8, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mohamed Abdirahman Ali
Dr. Mohamed Abdirahman Ali

General Surgery

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