Sandra (59 years old)

Sandra, 59 years old, is a veterinarian specialised in farm animals. She has 3 dogs that she often walks with along the sea shore, nearby her home. The results of her screening mammogram were abnormal.

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 90%, HER2 negative (IHC 0), Ki67 30%
• Breast conserving surgery with oncoplastic techniques + SLNB
• Pathology report:
  • G2 bifocal invasive carcinoma, 27 mm in largest foci, pT2
  • Intermediate grade DCIS in 15%
  • Lymphovascular invasion present, no perineural invasion
  • R0 resection
  • pN0 (0/4 sn)
• Multidisciplinary board meeting:
  • Gene expression profiling (21-gene assay): recurrence score result of 21
  • Postoperative RT and systemic therapy