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When doctors diagnosed Jen Chan with an aggressive form of breast cancer last year, she and her wife, Emily, faced a frightening reality: surgery, chemotherapy, radiation and uncertainty about whether the treatment would even work.

For a while, it seemed as though it had. In April, Jen danced toward the chemotherapy ward bell, smiling broadly, fists raised in triumph. Medical staff cheered and shook hot pink pompoms all around her, celebrating what they all thought was the end of her grueling treatment.