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Ismary,
The real controversy over Herceptin treatment for stage 1 bc seems to be with hormone positive patients with tumors under 1 cm. Since your mom is hormone negative, she is more likely to be reccomended for Herceptin. From what I understand, the major cancer centers will only offer Herceptin if the patient has chemotherapy, however, there appear to be a number of oncologists in private practice who will administer Herceptin without chemo (my onc is one of them). I suggest that your mom get more than one opinion on her proposed treatment (get two, three or as many as you need to feel comfortable). Talking with doctors who have different perspectives can help her and you find a treatment plan that is right for her. Best of luck to you both, however you decide.
Hopeful
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