?M____?Stage Group______РBreast Case # 2??Clinical StagingРClinical Stage correct answer?T2?N0?M0?Stage Group IIAРBased on stage, treatment is selected?Review treatment guidelines for this stageРBreast Case # 2??Clinical StagingРRationale for staging choicesРT2 for 3.9cm primary tumorРN0 because nodes were clinically negative on physical exam and imagingРM0 because there was nothing to suggest distant metastases; if there was, appropriate tests would be performed before developing a treatment planРPrognostic Factors??Clinically SignificantРApplicable to this case?Paget’s disease: no?BSR: Grade 3?Estrogen receptor: positive?Progesterone receptor: positive?HER2 status: negative?Method of node assessment: radiographic, physical examination?There are no prognostic factors required for staging