My first question was why has she had 4 biopsies?
My second question is she going to a place that is providing care that is women centered? In other words a place that treats the patient as a memeber of the team - that is supportive, provides a holistic approach and that can provide her with a team from PCP radiologists, surgeons who specialize in breast cancer surgeries, pathologists, etc.
My third question is related to your statement that she has to have her breast removed - are you serious? They want to remove the whole breast? This isn't done anymore and she needs to hightail it away from the person who is suggesting that! I don't know where she lives, but she would be better served at a cancer center if she can get there - a place that is up on the latest techniques, not caveman mentality...
My fourth question has to do with reconstruction - which is something that needs to be decided prior to any surgery she has - what kind she wants etc.
I'll stop as I don't want to overwhelm you with questions. I feel for you.
By the way I heard about a sister study today - call Swedish hospital in Seattle if you are interested - I don't know if you need to be local or not.