How would you manage a patient with synchronous breast and ovarian cancer, s/p neoadjuvant chemotherapy and surgery for ER+/HER2- breast cancer and found to have an ER+ ovarian cancer nodal metastases at TAH/BSO?  

RP node with treatment related changes and surgical specimen from TAH/BSO no other foci of malignancy found. 



Answer from: Medical Oncologist at Academic Institution