Vanessa (51 years old)

Vanessa is a 51-year-old artist. It started as a hobby but now she regularly exhibits her paintings which sell really well. She was diagnosed with breast cancer after she felt a lump in the right breast.

Assessment summary

• Premenopausal
• No family history of breast and ovarian cancer
• No relevant medical history, ECOG PS: 0
• Tumour size: cT2 (28 mm), LN status: cN0
• Tumour biology: ductal invasive carcinoma of NST, ER 0, PgR 0, HER2 0, Ki67 60%, grade II
• CT scan chest/abdomen and bone scan: no distant metastases
• Primary systemic therapy: 4 cycles EC dd + 12 cycles of weekly paclitaxel
• BCS + SLNB
• Pathology report: no residual tumour, stage ypT0N0