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In VA, I think most stage2's and 3's get herceptin following chemo since last June. I still don't think the FDA has approved it yet, but they will. For stage 1's, if all the factors warrant chemo, then they would call for herceptin as well. As far as I know, they haven't done trials with herceptin without chemo, so if you don't need chemo you won't be doing Herceptin now. Eventually, I hope, maybe Herceptin will be the first line for all stages and they'll save the big guns(AC) if it doesn't work.
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