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Get more opinions with other docs! There are a lot of options. I think they still tend to do minor lumpies even if you have great results with neoadjuvant therapy. Almost like a biopsy, especially if you have DCIS, scattershot. I don't know the whole story, but it doesn't seem like a radical mastecomy is warranted. If the embers are still lit, they aren't necessarily in the breast. If embers are still lit, that would call for chemo. It seems like they could remove a small amount of tissue in the area of concern. No guarrantees, but Herceptin does seem like it will keep your mom NED for awhile.
So, your mom should do H for another 10 months. It's her choice if she wants surgery. If ER/PR+ should do hormonals. If ER?PR -, ... don't know. Post the Path report so the more medically minded can respond.
Good luck, BB.
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