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Hi Robyn,
I was diagnosed with a 1.3cm, node negative, er/pr+, grade 3, stage one tumor. I was as aggressive as possible with my treatment. I did dose dense, AC and T chemo, 34 rads and now I am on Herceptin for a year as well as Aromasin (for er/pr+) for 5 to 10 years. I suppose at some point, they will treat our Her2+++ cancer with Herceptin alone, but if I were you...I would absolutly do chemo, rads and Herceptin. It sounds like your cancer is aggressive if it has already spread to the skin. Also, everything I have read about chemo say, "any tumor, 1 cm or over = chemo". This is just my, "two cents".
Hope this helps.
Karen
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