Following a diagnosis and surgical treatment for localized breast cancer, medical oncologists present patients with adjuvant systemic therapeutic options that have been shown to reduce the risk of subsequent cancer recurrence. In this commentary, I present the challenge that resulted from my discussions with a patient and family who asked that I not only discuss options and make recommendations but also decide the choice of therapy on her behalf.

中文翻译：

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要治疗还是不治疗，这就是问题

在对局限性乳腺癌进行诊断和手术治疗后，医学肿瘤学家为患者提供了佐剂性全身治疗方案，这些方案已被证明可以降低随后发生癌症复发的风险。在这篇评论中，我提出了与患者和家人进行讨论所带来的挑战，患者和家人要求我不仅讨论选择方案和提出建议，还代表她决定治疗的选择。