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I am stage 1, 1.5 cm, invasive ductal carcinoma, pr, er, Her2 all positive, postmenopause, nodes clean, mastec 9/05, clean margin. I opted for no chemo and no radiation. I asked for Herceptin along with arimidex. I talked to two oncs. Both of them agreed that I can have Herceptin, although they don't have data to back up this regimen. From what I read about Herceptin, it should couple with stray cancer cells and cause them to die. I really see no reason for the inclusion of chemo agents in the scheme. The oncs said that chemo has a synergistic effect, making Herceptin working better. It is only because all the reported results were done with chemo agents so far. Anyway, in my case, I will go for Herceptin without chemo. Of course, they will monitor the heart function during treatment.
Hope this bit of info will add to your gut feeling.
Love and hug.
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