Phys Clinical Cases · oncological

Breast Cancer — Clinical Case

DCE long case for breast cancer: a 62-year-old woman who is 7 years post-diagnosis of ER-positive breast cancer, presenting as a breast cancer survivor with new-onset bone pain from metastatic recurrence. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (the metastatic ER-positive bone-only disease strategy, CDK4/6 inhibitor plus endocrine therapy, bone-targeted therapy with zoledronic acid, palliative radiotherapy, cardiotoxicity and osteoporosis from prior aromatase inhibitor therapy, and the psychosocial dimensions of recurrence after years of survivorship), and probing examiner questions.