Are you more inclined to offer adjuvant chemotherapy for a post-menopausal woman after lumpectomy for a small TNBC who has a concurrent metastatic ER+ breast CA?  

This is an unusual situation. I would not give adjuvant chemotherapy to this patient who already has metastatic disease, even indolent metastatic disease. First, the chance of developing metastatic disease from the triple-negative breast cancer is not 100%, it's more like 20-40% depending on how sma...