Breast Cancer - Is There a Mutation?

I would absolutely think about chemotherapy or ADC in this patient. I have offered low dose loop-rantoring chemotherapy for such cases. Fertility preservation, especially given that they are childbearing aid so we need to know what's happening with their family planning decisions. Genetic testing because we have part better is to offer and we definitely don't want to forget about that. And then scalp cooling. Do you utilize ovarian suppression during chemotherapy to attempt to preserve ovarian function in patients who desire to get pregnant in the future. Any thoughts?