After you have received 4 cycles of chemotherapy, or at any time that the disease appears to get worse, you will have an MRI, mammogram, or ultrasound to check the status of the disease. Based on the scans, the doctor will decide the type of surgery that you will have to remove the tumors.You will be given a separate surgery consent form that describes the procedure and its risks. If you come off study, you may be offered chemotherapy, more surgery, or another option.