Brianna (51 years old)

Brianna is a 51-year-old kindergarten teacher. She is considering a career switch because she can no longer tolerate the loud noise of children. She felt a lump in the right breast and was diagnosed with breast cancer.

Assessment summary

• Postmenopausal
• No relevant medical history
• No family history of breast or ovarian cancer
• ECOG PS: 0
• Tumour size: cT1c, lymph node status: cN1
• Tumour biology: ER 0%, PgR 0%, HER2 IHC 0, Ki67 26%, G2, basal-like
• CT scan chest/abdomen and bone scan: cM0
• Received primary systemic therapy: 4x ddEC - 12x T
• Mastectomy + ALND (deemed best strategy based on tumour/breast size)
  • R0 resection
  • ypT2N2a
  • G2
  • LVI absent