<table><tr><th>From:</th><th>J &lt;jeevacation@gmail.com&gt;</th></tr><tr><td>Sent:
To:</td><td>Tuesday, January 29, 2019 5:57 PM
Karyna Shuliak</td></tr><tr><td>Subject:</td><td>Re: Breast cancer question</td></tr></table>

Last combination

On Tue, Jan 29, 2019 at 6:28 PM Karyna S=uliak <████████████████████████████████> <mailto:█████████████████████████████> >
wrote:

Sorry, they jus= clarified: she was advised to do chemo + radiation regardless of the targ=ted drugs. Their question is which drugs to add:

- herceptin + chemo + radiation

- perjeta + chemo + radiation

- herceptin+perjeta + chemo + radiation

> On Jan 29, 2019, at 11:50 AM, Karyna Shuliak <████████████████████ <mailto:████████████████████>
> w=ote:

>

> Patient is 29y.o.

> Breast cancer left breast:

> T1c N1 M0 G2

> Her2 score 3+

> ER- : PP=1 IS=1 Score=2

> PR- : PP=1 IS=1 Score=2

> BRCA test showed no gene mutations.

>

> Bilateral mastectomy has been done + 6 lymph nodes removed on the left=side.

>

> Their treatment choices are whether to do Herceptin alone, or Perjeta =lone, or both together?

>

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