[Becky]

TCH is now the standard of care for Her2+ patients. It is the right thing to do for any Her2+ person (my opinion) as Her2 is aggressive and sneaky AND your wife is young and has a full life ahead of her.

I didn't have a port but I really wish I did so I cannot comment on that but someone here will.

As for surgery, I think you should try to get out all the cancer. Before chemo is done, I think you should consult with a radiation oncologist and see what their opinion is of chest wall radiation. I would get two opinions. Do this before chemo is over because radiation (if deemed necessary) starts 3-4 weeks after chemo is over. AND if deemed necessary, you have to be mapped out so they know where to radiate.

As far as removing the nipple on the other side, I am just not sure how to answer that question as it is a personal decision.

We are here for you for your wife's and your journey. As you can see from my signature, I am almost 9 years out and did not have the better standard of care that you are being offered (and I am still here). The beginning is a whirlwind of mind blowing information on a disease the two of you never thought you would need to know about. Ask alot of questions to your medical team and us. If you are not sure about something, ask or get a second opinion for peace of mind.