Nell (51 years old)

Nell is a 51-year-old airline pilot, flying frequently between her home base and Lisbon. She has family living there, and her job makes it easy to visit them. 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: cT2, lymph node status: cN0
• 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 + SLNB (deemed best strategy based on tumour/breast size)
  • R0 resection
  • ypT2N0
  • G2
  • LVI absent