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The whole idea behind adjuvant treatment is to prevent a relapse and cancer from returning with a vengence. That's right should your cancer return it will be harder to treat and less responsive to Herceptin and chemotherapy than if you treated now early stage. If you don't believe me do a little research yourself. I would definately get a second opinoin from an aggressive cancer center such as the Mayo Clinic Rochester in MN or even Memorial Sloan Kettering in NY. Personally, I find older doctors much less aggressive. Perhaps that's because they lost their zest or they just know they won't be around long enough to face their mistakes, undertreatment failures etc.