Breast cancer
NEW --- Systemic therapy for early stage TNBC

Vera (58 years old)

Vera, 58 years old, works as a guide in the city she grew up in. She’s an enthusiastic story teller and receives great ratings by tourists on the internet, of which she is very proud. She was diagnosed with breast cancer on the left side.

Assessment summary

  • Postmenopausal
  • No family history of breast or ovarian cancer
  • No relevant medical history, ECOG PS: 0
  • Tumour size: cT1c (18 mm), LN status: cN0
  • Tumour biology:
    • Ductal invasive carcinoma of NST
    • ER 0%, PgR 0%, HER2 IHC 0
    • Ki67 85%
    • G3
  • CT scan thorax/abdomen and bone scan: no metastases
  • Genetic testing: no BRCA1/2 mutation

Which of the following treatment options would you choose for this patient?