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Thank you all very much for your contributions.
Herceptin is still not much used in the UK and government guidelines for the National Health Service currently only approve it for secondary disease. (You can buy it privately if you are rich enough: the private insurance companies do not pay for it for primary BC due to the government guidelines!) I shall be receiving it due to the diagnosis of Inflammatory Breast Cancer which is aggressively HER2 positive. (My consultant oncologist classifies IBC as a locally advanced condition and therefore falling within the guidelines.)
It is encouraging to realise that surgery is possible during this treatment. When I asked my oncologist whether surgery is possible he said he woud get one of his team to research the academic papers. I'm glad I found this forum to get the information more quickly and directly!
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