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So I was looking into it further and it looks like although Herceptin itself is not chemotherapy, it is usually given with chemotherapy for the best results. So Yasser was probably saying we are doing the HER to see if she needs to start chemo because it is added in addition to the Herceptin drug. So the HER2 doesnt necessarily tell you if you need chemo, it tells you you need Herceptin, but in most cases when you give Herceptin, you give Chemo with it. The reason they do chemotherapy is not because they think it has spread, its because HER2 cancers typically need to add chemo to make the tumor removal more effective, and this is normally done before the surgery. Also about 20% of cancers are HER2 positive so that is likely why he still thought she will most likely not need it.
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