Patient: Late December ’08 Surgery on February 13, more successful. Now preparing for chemotherapy. All indicators passed in the physical examination today. Hello, Dr. Cheng! I would like to ask you what kind of follow-up treatment should be done in my mother’s case. The doctor at my home said that she should undergo 6 stages of chemotherapy. Which regimen do you think is the most reasonable for chemotherapy? Also, is there any other treatment plan that should be taken in addition to chemotherapy? Please give me a more detailed answer. Thank you very much! (Right) Invasive ductal carcinoma of the breast with metastatic carcinoma in the axillary lymph nodes (3/18), nipple (negative) and fascia (negative). Immunohistochemical staining results are: ER (-),PR (-),AR (-),P53 (++), C-erbB-2 (++). Doctor: This patient has postoperative metastatic cancer in axillary lymph nodes (3/18); ER(-),PR(-), it is necessary to do postoperative adjuvant radiotherapy, otherwise it is difficult to maintain the postoperative effect. The treatment plan can be referred to the NCCN breast cancer treatment guidelines: radiotherapy to the whole breast with bed-thrust irradiation (category 1). Consider supraclavicular area radiotherapy (category 2B). Consider internal breast lymph node radiotherapy (Category 3). Radiotherapy can be given with either CAF-based chemotherapy (category 2B) or sequential chemotherapy (the chemotherapy regimen is the CAF-based regimen). Therefore, this patient should decide on radiotherapy, depending on the surgery, and can be treated with concurrent chemotherapy/sequential chemotherapy.