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

Jannike (57 years old)

Jannike is a 59-year-old nurse at a children’s hospital. During her free time, she loves to crochet animals and dolls that she gives to the children in the hospital. She detected a lump in her right breast on self-examination.

Assessment summary

  • No relevant medical history or family history of cancer
  • Postmenopausal
  • 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
    • pN1a (1/4 sn)

Which next step would you choose for this patient?