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Melinda,
I was dx at age 52 with a 1.3 IDC cm tumor, 9mm invasive, 10% DCIS, ER+ 80%, PR+ 50%, Her2+++ by IHC, Ki-67 11%, intermediate grade 2, Bloom-Richardson score 7, sentinel node negative, Stage 1 cancer. After reviewing the relative benefits of chemo for postmenopausal, ER+PR+ tumors, and considering the relative chemo refractory nature of Her2+ tumors, I declined chemo. My onc is willing to give me Herceptin without chemo, so my current program is Herceptin for 1 year every three weeks. I am also on an AI for 5 years (started on Femara and switched to Arimidex). I had a lumpectomy followed by 7 weeks of radiation therapy; the Herceptin was started with the radiation.
Everyone has to come to their own decision regarding their treatment plan. There is no "one size fits all." Get as many opinions as you need to feel comfortable with your decision, then go with your gut and never look back. Best of luck to you.
Hopeful
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