How would you approach systemic therapy for a pre-menopausal woman with ER+/PR+/HER2 positive breast cancer who had a local recurrence 6 months after completing adjuvant TCH and a year of trastuzumab + tamoxifen?

Topics: Breast Cancer • Medical Oncology • NCI-CCC Tumor Board Question • Her2+ • University of Wisconsin • NCI-CCC Breast Tumor Board Question • Breast Cancer, Non-metastatic

Would you consider neoadjuvant or adjuvant treatment and if so, which therapies? Patient initially had pT2N0 disease and recurrent disease is also ER+/PR+/HER2 positive.

Answer from: Medical Oncologist at Community Practice

This patient has high-risk disease. First point: Option 1: Since the cancer recurred 6 months from TCH, I think you can justify using TDM-1 and pertuzumab combination based on I-SPY 2 data (pCR achieved in 52% for women treated with TDM-1 and pertuzumab versus 22% for women treated with tr...

Comments

Medical Oncologist at Alvin & Lois Lapidus Cancer Institute Northwest Hospital
In a situation like this where there is a local re...

Medical Oncologist at Northwestern Medicine Cancer Center at KishHealth
Stop after a year.

Medical Oncologist at NYU Winthrop Hospital
I will use Trastuzumab DXd based on DESTINY-Breast...

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