What would be your choice of adjuvant chemotherapy for a healthy patient with localized triple negative breast cancer who is not a candidate for anthracycline and has severe neuropathy?

I probably would offer adjuvant chemotherapy with CMF. This is a regimen we don't use anymore, but it clearly improves outcome compared to no chemotherapy.

CMF as adjuvant chemotherapy in triple negative BC

This case is described as not being a candidate for anthracyclines and with severe neuropathy, ...

I'm assuming that this patient had adjuvant treatment with an anthracycline and paclitaxel for her primary treatment, and she developed a local invasive recurrence. I too would go with CMF.