I had a similar path report and didn't do chemo. Had to ask for hormonal tx. If the tumor had been over 1 cm they would have recommended both. 39 is young and she has many years ahead in which she might recur. Irrespective of Her2 status, her risk of recurrence would be about 20 percent. As 3/4 of recurrences are metastatic according two 2 docs I've spoken to, that would mean that for every 20 women who recur, 15 would be battling mets.
Now I'm still NED after 5 years, but I'm not sure I wouldn't want chemo if I had to choose again. It wasn't an option in 2004. Perhaps your friend can ask her doc what the expected benefit would be.
Jacqueline
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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