Most inflamed muscles cause a burning and cramping sensation when strained. The abdominal muscles make the abdominal wall so any injury to these muscles are felt superficially. There are some deep lying muscles that can also be strained and may therefore be the cause of a deeper burning sensation in the abdomen.
Six to eight cycles of chemotherapy (anthracycline or non-anthracycline-containing regimen) with Perjeta and Herceptin, followed by Perjeta and Herceptin every three weeks for a total of one year (52 weeks) of treatment.
He recommended neoadjuvant TCH, 6 cycles. Then surgery (lx-more my choice, but was open to mx if that was better). Then Herceptin every three weeks for a year with Radiation, then Femara for 5 years after that. He said Perjeta is usually done with Adriamycin and he didn't like the SE of cardiotoxicity and rare risk of Leukemogenesis.