Breast cancer
INACTIVE --- Adjuvant systemic treatment of luminal A/B early breast cancer

Olivia (43 years old)

Olivia, a 43-year-old police detective, loves to go for an early morning run before starting her day at the police office. After taking a shower, she detected a lump in her right breast on self-examination.

Assessment summary

  • No relevant medical history or family history of cancer
  • Premenopausal, regular menstrual cycles. Nulliparous (G0P0)
  • Stage and tumour biology (core biopsy) at diagnosis:
    • cT2N0M0
    • G2, invasive carcinoma of no special type, ER 100%, PgR 10%, HER2 negative (IHC 0), Ki67 15%
  • Breast conserving surgery with oncoplastic techniques + SLNB
  • Pathology report:
    • G2 bifocal invasive carcinoma, 17 mm in largest foci, pT1c(m)
    • No lymphovascular or perineural invasion
    • R0 resection
    • pN0 (0/4 sn)

Which next step would you choose for this patient?