I posted this before
http://her2support.org/vbulletin/showthread.php?t=38998
but I want to mention that it suggests her2 therapy can
upregulate ER pathways. So...your biospy might read one thing now but actual ER activity might catually be increased as you get Herceptin. There's also the issue of the real accuracy of a biospy that is inherently limited to some degree.