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I agree that surgery can cause distant growth due to angiogenesis (the primary tumor does inhibit growth of distant small metastises) and growth factors. This is why I insisted on starting chemo 2 weeks after my lumpectomy and why I did not wait until Herceptin (my one year as an adjuvant) was over before I had my ovaries removed (never skipped a beat on treatments). I felt the overwhelming need to stay on the Herceptin/Arimidex combo for possible distant tumor control.
I plan on getting my first colonoscopy before the middle of June (when my year is up) for the same reason (as there could be a benign polp to remove - never know?)
Becky
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