Consider Pre-menopausal ER+ BC
Low risk: Tam 5 y
Intermediair risk: TAM + ovarian suppression 5-10 y
–Young age
–Higher risk (initial chemotherapy)
High risk: TAM + ovarian suppression 10 y
–Young age
–Higher risk (initial chemotherapy)
Depending on tolerance and co-morbidity
19-9-2017




