Breast Invasive Ductal Carcinoma (IDC): Triple-negative (basal-like)

Last reviewed: 9/15/2025

Applies to: ER–/PR–/HER2– disease.

Summary

Chemo-intensive with immunotherapy in high-risk early disease; ADCs and PARP inhibitors (gBRCA) in metastatic settings.

Pathology & Markers

  • ER–/PR–/HER2–
  • PD-L1 CPS subset positive

Biology & Pathways

  • DNA damage repair defects (gBRCA)
  • Immune-inflamed microenvironment subset

Clinical Challenges

  • Higher early relapse risk; brain and visceral metastases.
  • Need for pCR-oriented neoadjuvant therapy and adjuvant adaptation.

Imaging Notes

  • Baseline staging for stage II–III; brain MRI if neuro symptoms.

Management Modifiers

Related

Educational use only; not medical advice.