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A.A.,
I guess they don't know if a second round of chemo with Herceptin is any better than Herceptin alone without doing a trial. Unfortunately I wouldn't expect them to run a trial specifically for this group of patients like yourself because it is a relatively small number of patients in this predicament. They would just use the Herceptin-Taxane combination on the new patients(Adriamycin shouldn't be combined with Herceptin for heart risks).
If you really feel strongly about getting the combination now you should push for it with your oncologist or find an oncologist that will. This is your life you're dealing with here, if you really feel your not getting the treatment you deserve, fight for it. Sometimes I feel like the oncologists aren't being straight with us or are taking the safe route by offering standard care. I go at it with the oncologists all the time, I don't care how well respected in the field they may be. Get a second or third opinion, we currently consult with three oncologists.
Good luck,
Scott
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