What systemic therapy would you recommend for axillary recurrence of triple negative secretory breast cancer previously treated with mastectomy alone?  

Initial path was T1cN0, and recurrence shows 2/21 ALN  involved with ENE, what would you recommend for therapy?

Answer from: Medical Oncologist at Academic Institution
Medical Oncologist at NYU Winthrop Hospital
KEYNOTE-522 Pembrolizumab is used in neo-adjuvant...
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