Chemo first and surgery after

Hi @JuneXie, you have the same diagnosis as me, ER+, PR+ and HER-,  I went the opposite direction to you, had surgery first then chemo, my team were concerned that my cancer was aggressive as I had what looked to be 5 tumours all on the left side of my right breast, basically found from 1oclock position to 6oclock. At the time before surgery I had no lymph node involvement according to biopsy. Full mastectomy done on right side with sentinel node biopsy at same time to confirm no nodes involved. The the time frame from original biopsy and first surgery was approximately 2 months (public system) final tests from surgery revealed 3.5 nodes involved and was 2 aggressive tumours that were branching out like trees causing it to look like 5. Full auxillary clearance happened 2 weeks later, another node involvement found, full scans done and chemo booked, AC ever 2 weeks- changed to every 3 weeks after scans revealed spots in the liver.  Oncology were concerned that if cancer had gone further into liver my body would not cope with the heavy dose of chemo and then possible change to different meds if I became metastatic. Scans after Chemo revealed no more evidence in the boob area and spots in the liver reduced from original 5 to 3. This confirmed stage 4 metastatic breast cancer to the liver and medication changed to daily oral meds for the rest of my life. I often wonder if chemo had been done first and pushed to start quickly it might have stopped the node and liver involvement. Stay positive, keep fighting. You've got this!
Sending positivity your way while you get through chemo, the AC is not easy and I can relate to the dizzy feelings, toothaches and the reflux. The oncologist will have great meds to help you deal with those side effects and utilise the oncology nurses as much as possible. (I had a number I could ring to discuss side effects and get help if needed) Also reach out here anytime was we ask want to help. Xxx sending positivity your way and thinking of you