Breast cancer
UPDATED --- Radiotherapy for early breast cancer

Danah (49 years old)

Danah, 49 years old, is a truck driver and speed demon. Her clients are happy with her fast deliveries, but her boss is angry because of all the speed tickets. She felt a lump in her breast and was diagnosed with breast cancer.

Assessment summary

  • Premenopausal
  • No relevant medical history
  • No family history of ovarian or breast cancer
  • ECOG PS: 0
  • Tumour size: cT2, lymph node status: cN0
  • Tumour biology: ductal invasive carcinoma of NST, ER 0%, PgR 0%, HER2 IHC 0, Ki67 30%, G3, basal-like
  • CT scan chest/abdomen and bone scan: cM0
  • Received primary systemic therapy: 4x ddEC - 12x T
  • Lumpectomy + SLNB: radical excision (R0), LVI absent, ypT1bN0

Which option would you choose for this patient?