@cctoo
Due to the pathology of the first tumor, the chemo was standard treatment. Standard diagnostics is bone scan and body scan which both showed the first tumor. I asked my breast surgeon to order an MRI breast as I was worried about the unaffected breast and it was at that time the second tumor was noted in the first breast. The tumor pathology is quite rare for neuroendocrine differentiation, i.e. in less than 0.5% of the breast cancer population. My case has been discussed at 4 Tumor Boards at three different medical hospitals. I am satisfied with what has been done at this point. The Onco scores are used, yes, but are not always reliable as they do not test all gene types.