[Jean]

Hi Pinkgirl,
To respond to your question it depends. It is not always cut and dry. For instance....you have an early stage dx, your tumor is under 1CM...and /or/very small, node status neg. this could spur an onc.
to consider no/chemo (now hopefully ) standard of care
for ALL herceptin positive women herceptin is given, but remember not so long ago this was not the case.

Or, your tumor is 2CM and one surgeon may advise
lumpectomy/while another may advise mastectomy.
While of late the treatments are becoming standard,
but there are still many onc. who use A/C as standard,
when there is TCH to avoid any heart issues.

Just recently (last week) a collegue of mine has a sister who was recently dx. with bc. (she is not her2) but neg.
Her tumor was 2CM with clean margins. The onc. she saw said A/C - at the BCS in Dec. there were many studies on how A/C truly benefits the her2 + patients.
I took her to my onc. for a second opinion just last Thur.
who is first ordering an Oncotype test and if it comes back high, will be using TC chemo.

Also, some onc. maybe involved in a trial that may offer
a better resolve for treatment. It is my opinion that we as women shop hard just for shoes, heck when it comes to our lives....we need to be so careful who we trust our
surgery, treatment and care to.

Jean