High risk : Grade 3, stage 2, her 2 over expressed, high risk for recurrence. I would recommend adjuvant chemotherapy and Herceptin (trastuzumab). Herceptin (trastuzumab) is then given for a year. If she has not had surgery yet, then one would definitely consider neo adjuvant chemotherapy with Herceptin (trastuzumab) and Pertuzumab. Age is not a reason not to treat! In addition a 70 year old patient may do very well with chemotherapy. Not old.
Answered 6/25/2014
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