Virtual Molecular Tumor Board
Atrium Health
Presented by: Dr. Julie Fisher
Patient: Metastatic breast cancer
Initial Diagnosis and Treatment
A 55-year-old Caucasian woman noted a palpable lump in her left breast in August 2008.
- Diagnostic breast imaging revealed a 1.6 cm x 1.2 cm x 1.0 cm spiculated mass corresponding to the area of palpable concern
- Ultrasound-guided core biopsy showed poorly differentiated invasive ductal carcinoma: ER+, PR+, HER-2-Neu 2+ by immunohistochemistry (equivocal) and negative by FISH (ratio: 1.46)
- September 2008: Initiated dose-dense doxorubicin/cyclophosphamide
- Patient was found to have metastasis to the lung and liver after two cycles