乳腺癌刚做过手术， 下一步该怎么办 ？

今年6月诊断出乳腺癌， 7月做了手术。结果 ER/PR 阴性， Her-2  阳性,  Ki-67 33% high.  术后发现深层没有割干净， 医生说还要再做一次手术。 群里有类似情况的姐妹吗？ 还需要再做一次手术吗？ 还是可以直接局部放疗 ？

下面是最终的病理诊断结果

Final pathologic diagnosis:

Invasive poorly differentiated grade 3 ductal carcinoma, 8mm size, with additional foci of early microinvasive carcinoma and with margins of the lumpectomy negative for involvement by invasive carcinoma.

Extensive high grade intraductal carcinoma, estimated size of 5.6 x 2.5 cm, with focal extension to deep margin of the lumpectomy specimen.

先谢谢了 ！