I See Oncologist 5/19. All the tests are to determine what might work. Looks like no chemo from your experience. My sclerotic lesions May still be microscopic. Just found as on 4/26 after bilateral mastectomy. I plan to discuss with doctor. Had surgery at UC San Diego. Now at Cancer Care Northwest in Spokane, Washington. The Kisqali and Fulvestrant will be an attempt at estrogen blocking. Have had DNA testing but not sure if I have the e- cadherin mutation. Is that ESR1 mutation? I did not have ESR1 and could not take new elacestrant pill and they are recommending the Fulvestrant injection.