Needs to consider multiple factors like age at presentation Features in biopsy report like lymphovascular invasion extent of surgery size of tumor and location extent of DCIS No of cyclea depends on type of chemo for example FAC CMF AC etc Please meet in person to discuss Harmonal therapy can be for 5 yrs ..if premenopausal with a switch after 5yrs if reuired...up to 10 yrs.. May require radiation ...

Will need to be discussed in detail with patient, different drug combinations may be preferred based on fitness. She will need hormonal therapy for 5 years. Please discuss in detail.