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The first thing the onc has to do if be sure of what he is dealing with. The only way, regardless of the size of the tumor is to run these tests and do blood work and physical exams. Yes, I would push to have them done. Her2+ cancer is not like others, in my personal opinion. I was negative node wise under the arms but a 1 cm tumor was found by my onc in the supraclavicular node. This totally changed my treatment. Take care.
Cathy
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