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My 37 year-old sister had her right breast removed 2 months ago. Her pathological exam reveals ductal carcinoma with highly differential cell type. 0/11 lymph nodesLymph node biopsy Swollen glands Swollen lymph nodes in the groin Swollen lymph nodes under arm were positive. Immunohistological markers are ER+, PR+, Ki67+<2% and Cerb-B2++. Does she need hermone and chemo therapy at all? Does she need Herceptin? What is the prognosis for her?