That's good that you have the next steps dougal. I had my appointment yesterday too, and my treatment plan might be similar, but not the same as yours. My surgeon passed on further pathology results post surgery that the tumour was HER 2 + whereas previously an ISH test had indicated it was HER 2 -, so that changed my treatment plan. I will be getting herceptin (trastuzumab) for 12 months as well as chemotherapy for at least three months (but it might be 4 and a half months) followed by radiation therapy. I have a choice with the chemotherapy which I am deciding at the moment and will let the oncologist's registrar know tomorrow after considering the information they gave me (as I haven't decided yet I have not gone into more detail about the choices here). I need to have a CT scan, bone scan and heart scan prior to chemotherapy starting in three to four weeks after I am healed from surgery (I am also a bit swollen around where the lymph node was taken out). It also may take some time for the herceptin to arrive, although the first cycle of chemotherapy can start without it. It was good to have more information about the next steps, although I was also a bit nervous about the appointment yesterday. While I have been told from the beginning that I will need chemotherapy and radiation therapy based on the type of cancer and my age, the oncologist confirmed it and went into more detail about what it will entail.