surgery before or after chemo???? her2+
Hello- im new:)
Diagnosed 3 weeks ago
We have now seen 2 oncologists and have been given 2 options. We need to decide in a couple days-
1. Chemo first AC (4 rounds) TT (4 rounds)- and then surgery (assuming a less aggressive surgery -lumpectomy as the tumor will have hopefully shrunk) and then Herceptin (T) 13 rounds - then radiation and then hormone treatment for 5-10 years. Hoping by doing the chemo first they can quickly kill anything that has moved - although I did a PETscan and know it is where it is supposed to be (maybe a couple in nodes)
2. Surgery first (mastectomy)- then chemo TCH (6 rounds)- and then just Herceptin (10 rounds) and then maybe radiation and then hormone treatment for 5-10 years. (TCH here instead of AC due to the fact that both AC and Herceptin are bad for the heart and they don't want to double up that side affect). Hoping that if they take out the mass then that will take out the greatest risk- and we can deal with anything left behind later in chemo.
Each oncologist is recommending these treatments start in the next 2 weeks. I wish I had a tie breaker! They are both great treatment options- I just do not know which is the right one for me. And it is confusing to have 2 well known and respected oncologists have such strong opinions that differ. Going for a third opinion at this point is not viable- it would take a least a week to get another appointment and I am already close to a month after diagnosis and need to start a treatment. I was able to get a PETscan and have found the the cancer has not spread anywhere else- liver bones etc however they did detect a couple possible lymph nodes.
Also need to consider reconstruction - if I do the surgery first I might want to delay the reconstruction so that we can start the chemo ASAP - Is that just prolonging the process and pain? I am nervous about doing the reconstruction and then going straight into chemo - as will that affect my healing?
If anyone knows anyone that would be able to share anything that would help us make this decision that would be so great.