Second Opinion

Second Opinion: Proceedings from a Two-Part CME Satellite Symposia SeriesHeld at the 31 st Annual San Antonio Breast Cancer Symposium and Interviewswith the Faculty — December 12-13, 2008T A B L E O F C O N T E N T SManagement of Metastatic Breast Cancer3 A 38-year-old premenopausalwoman with a 2-cm, Grade III,ER/PR-positive, HER2-positiveinfiltrating ductal carcinoma (IDC)and a 1.8-cm, biopsy-confirmedhepatic metastasis (from the practiceof Abraham B Schwarzberg, MD)6 A 65-year-old woman with rapidlyprogressive, symptomatic bone andlung metastases during her fifth yearof an adjuvant aromatase inhibitor foran ER/PR-positive, HER2-negative IDC(from the practice of Lowell L Hart, MD)8 A 47-year-old postmenopausalwoman with a 1.8-cm, ER/PRpositive,HER2-negative, nodenegativeIDC who developed bonemetastases after four years of anadjuvant aromatase inhibitor (fromthe practice of Steven P Kanner, MD)Additional Cases on the Audio ProgramA 49-year-old woman with biopsyconfirmedliver and lung metastasesthree years after adjuvant AC for atriple-negative IDC (from the practiceof Michael A Schwartz, MD)A 47-year-old woman who developedmultiple unresectable brain metastaseseight years after adjuvantanthracycline/taxane therapy foran ER/PR-negative, HER2-positiveIDC (from the practice ofKenneth R Hoffman, MD, MPH)A 62-year-old woman with aneglected 6-cm, ER/PR-positive,HER2-positive IDC and biopsyprovenlung metastases (from thepractice of Dr Hoffman)Adjuvant Therapy for Early Breast Cancer10 A 76-year-old woman with a 0.8-cm,ER/PR-positive, HER2-negative,moderately differentiated IDC with twopositive nodes and an Oncotype DX ®Recurrence Score ® of 13 (from thepractice of Samuel N Bobrow, MD)13 A 76-year-old woman who underwenta mastectomy for a 6-cm, ER/PR-positive, HER2-positive, T4b IDCwith skin ulceration and extensivedermal involvement (from the practiceof Isaac Levy, MD)15 A 37-year-old woman with a 0.4-cm,moderately differentiated, ER/PR-negative, HER2-positive, nodenegativeIDC (from the practiceof Dr Bobrow)Additional Cases on the Audio ProgramA 41-year-old woman with longstandingType 1 diabetes who underwentrecent laser therapy for retinopathyand is diagnosed with a 1.8-cm,triple-negative, node-negative IDC(from the practice of Dr Hoffman)A 67-year-old woman with a 2.5-cm,ER/PR-positive, HER2-negative,node-negative IDC who has completedfive years of adjuvant anastrozole(from the practice of Dr Hoffman)A 56-year-old premenopausal womanwith a 2.2-cm, ER/PR-positive,HER2-negative, node-negative IDCwith 88 percent Ki-67 (from thepractice of Dr Hart)18 POST-TEST19 EDUCATIONAL ASSESSMENT AND CREDIT FORM