Breast cancer
UPDATED --- Radiotherapy for early breast cancer

Amira (39 years old)

Amira is a 39-year-old sports fanatic. In 5 years’ time, she has run 4 marathons and completed 1 triathlon. She was recently diagnosed with right-sided breast cancer.

Assessment summary

  • Premenopausal
  • No relevant medical history
  • No family history of breast or ovarian cancer
  • ECOG PS: 0
  • Tumour size: cT1c, lymph node status: cN0
  • Tumour biology: ER 0%, PgR 0%, HER2 IHC 0, Ki67 45%, G3, basal-like
  • CT scan chest/abdomen and bone scan: cM0
  • No BRCA germline mutation

Which option would you choose for this patient?