pathology results in chemo decision

[LizB]

Hi Friends,
I finished my 7th and last round of neo-adjuvant TCHP May 1st. So glad to be done but now results from surgery came back and I'm given the choice of whether to do 3 rounds of FEC chemo before radiation. I had 1 sentinel node positive for cancer and a 2nd sentinel node negative and a secondary node negative. They had clear borders from the lumpectomy.

What would you do? The node had very lacy cancer in a 2 mm tumor, only about 5% of active cancer in that tiny tumor. My original breast tumor was large, 6cm, er pos and HER2pos. Part of me says, yes, do the additional chemo and do all I can to lick this thing the first time out. The rest of me says, no, we still have 6 months of Herceptin, 6 weeks of radiation, and 10 years of hormone therapy coming up. Advice welcome.