Whitney (66 years old)

Whitney, 66 years old, has the name and looks of Whitney Houston. However, when she tries to sing “I Will Always Love You”, everyone runs out the room because of her false tones. She was diagnosed with early breast cancer after reporting a palpable lump in her right axilla.

Assessment summary

• No relevant medical history 
• No family history of cancer
• Postmenopausal
• Stage and tumour biology (core biopsy) at diagnosis:
  • cT2N1M0, 35 mm, 1 involved lymph node
  • G3, invasive carcinoma of NST, ER 100%, PgR 25%, HER2 IHC 0, Ki67 40%
• Neoadjuvant chemotherapy: dose-dense EC q2w with G-CSF support followed by dose-dense paclitaxel q2w
• BCS with ALND
• Pathology report:
  • G3 invasive carcinoma of NST, ER 100%, PgR 25%, HER2 IHC 0, Ki67 40%
  • Unifocal, 18 mm, pT1c
  • Cellularity: 30%
  • LVI or perineural invasion absent
  • pN2a (4/12): 4 positive lymph nodes