May 02, 2013 - 8:24 pm
I had a lumpectomy two weeks ago, lymph node biopsy negative. Just got the post-surgery pathology report and it was stage 1a (very small) invasive ductal carcinoma with high nuclear grade DCIS. ER positive, PR negative, HER2 positive. I'd like to hear from anyone out there who also has both ER+ and HER2+ about what adjuvant treatment you have chosen. On one hand, it was so small that all the invasive part was removed in the original core biopsy before surgery. After surgery all they found was DCIS. Margins were between 2 and 5 mm. But with high grade and both ER+ and HER2+, should I expect to need chemo AND hormone therapy AND Herceptin AND radiation?? I know the oncologist and I will have to thrash this out when I meet her, but I want to hear what others with similar dx have done.