I am on NACT ( AC/ T 130 mg ) 6 cycles before surgery. Finally 2 more remaining and im trying to keep myself fit by walking an hour everyday and doing some light yoga ..since i have a bard port fitted for chemo need to be careful :).I had dreaded chemotherapy but docs said it was mandatory as its a case of TNBC (ER 5%) LABC ( unfortunately misdiagnosed as a fibroidenoma 6 months ago considering my age 29 at that time).Thankfully there has been no side effect except after chemotherapy except for taste change first 4-5 days. But blood works show a slight decrease in HB level and platelets before 4th cycle.
Pet CT after 3 cycles showed significant improvement and residual mlidly metabolic tissue thickening was seen and no abnormalities. Docs have planned surgery after 6th cycle most likely BCS. Also got the genetic counselling after which i went for BRCA 1 & 2 tests which came out negative without mutation.
I need advice on the following :
1) Should i go for the hereditary cancer panel test at this point. I have no family history of breast cancer but of esophageal cancer from dads side.
2)Will BCS have any impact on my survival / relapse and overall prognosis. Or is mastectomy recommended. I am unsure of how much difference it will make as my oncologist said there will be no difference and suggested a BCS.
3)Any recent clinical trials for TNBC in India.
4)I am single and have not gone for fertility preservation as i did not have much time & resources available and starting treatment asap was a priority. No doctors could tell me with certainty on the effect on my reproductive system however they mentioned it will impact but to what extent even the gynaecologists could not say as they did not check my reserves before starting treatment. Can i get some light on the same too.