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If you ask enough people (or doctors) you will get a variety of answers. Many say it is the date of diagnosis (I like this one because then it boosts your years of survival by at least 6-7 months). Others say it is the date of your last active treatment (sans Herceptin as an adjuvant).
So for example, if chemo was your last active treatment, then it would be the date of your last chemo treatment. But if you needed to also have radiation after chemo, then it would be the date of your last radiation treatment.
Lastly, some say it is the date you started any active treatment (which for most of us is the date of surgery - or the date you started neo-adjuvant chemotherapy).
Best regards
Becky
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