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My surgeon attempted to remove mine at the first recurrence because I wanted it out, but it ended up being too close to nerves and so he just took a portion of it which tested malignant, her2+ like the primary. At my last recurrence a year ago, the surgeon simply did a fine needle aspiration to confirm activity which had shown on the PET/CT, and again the nodes were her2+, although these were nodes on the opposite side as primary.
PET/CT's are done on me now to monitor progression as they have proven to be accurate. But whenever there's a question about her2 or hormone status, a biopsy or fluid sample is needed.
<3 Lolly
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