I need advice on chemo treatment

[chrisy]

Wow, you are quite a veteran. I can tell you're a fighter!

I'll give you my 2 cents (which is worth probably way less than that!) but, maybe could you clarify something for me. You say they are calling the kidney tumor a new primary? So is it a kidney cancer not a metastasis from the breast cancer? That may impact the treatment decisions if you are trying to do adjuvant chemo for a kidney lesion - although many of the treatments for renal cell cancers are the same as for bc.

I agree with what the others have said re the A/C and the cardiac toxicity. The risk of this with Herceptin after A/C is higher than if you did not have the A/C. And not to throw yet another wrinkle in, but have you considered T/H weekly instead of every 3 weeks? This uses a lower dose, and is supposed to be better tolerated and just as effective.

It sounds like you would also consider continuing the hormonal treatment, if this is a new primary and still er+