Gemzar and Carboplatin again

[AAT]

I am 34 years old and had 2 tumors both 8 mm in my left breast.  They were seperate tumors; one triple negative, one Her2/neu postive.  I had a mastecomey and A/C then taxol and herceptine (which will continue for 9 more months). I just finished my last round of taxol 2 month s ago and then had what I hoped was a prophylatic right mastecomy and discovered a 5 mm tumor.  I have asked many doctors what I should do now.  Should I have more chemo for the right breast?  It is not clear if the right tumor developed on chemo or afer or it was there all along.  It never showed up on any imaging I had before or during treatment.  Some doctors have recommended doing gemzar and carboplatin.  Others say it is too risky because the benfits are not known in this situtation.  Please help.  should I get this treatment?  Is it compatable with herceptine if I do decide to get it?
Thank you.

[Cleveland Clinic]

Dear AAT,  Decisions regarding what to do in such a situation would have to be based on weighing the risks and benefits for the individual patient based on all the details of the case.  Without all of the details it is difficult to advice as to what we would recommend in this situation.  It is best to have the discussion with your oncologist who can discuss pros and cons in your specific situation.  You may also consider seeking a second opinion from a breast specialist at a large cancer center.

You might also want to consider a consultation with a genetics counselor experienced in breast cancer syndromes to determine if this is linked at all to a familial syndrome.