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Re: Need Info!
One thought is that nodal involvement ups the risk for distant mets...the biggest concern. Significant surgery may release tumor cells into the system and anesthesia may suppress the immune system and trigger undesirable responses to any circulating cells there. Additional prophylactic major surgery at this point might only add issues. Seems like the science is recently going from neutral to tilting away from BLM. Do you have dense breasts with a history of cysts or precancerous signs? I would add that you might ask about getting an estradiol level test and ask about taking an aromatase inhibitor(if post meno) with the Herceptin. You may be able to take both during radiation, if you go that route.
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