mens.cycle was regular till 4th chemo now both ovaries are atrophied asper pelvic USG.can she continue or stop Zoladex?Is it necessary to remove ovaries?How can we know menopause set in or not?Asper path report:ER:positive 4/8 PR:positive 3/8 Her 2-neu:negative score 1+ Infiltrating duct carcinoma, nos, grade 2 ~no perineural/perivascular invasion seen ~all resection margins free from tumor ~surrounding breast shows benign changes ~ NPI=3.5 which places the patient in moderate prognostic group ~pT2N0Mx ~no evidence of lymph node metastasis (0/19).As per gynaec surgeon no need for removing ovaries.What about oncology side?
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