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Strange, unusual things can happen with Her2+ cancers. I had negative nodes but because my tumor was large (3 cm) I was originally staged as 2a. My doctor originally recommended radiation only to follow my lumpectomy as, according to the statistics, there was very limited benefit to me with chemotheraphy. Later, during the same visit upon physical exam he found a tumor in my supraclavicular node which everyone else had missed. This "presentation" is very unusual but it does happen. Her2 likes to travel. A second opinion can't hurt.
All the best,
Cathya
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