---
title: "The case in data: clinical course, labs and available tissue · Miriam González"
canonical_url: "https://helpmiriam.com/en/data"
last_updated: "2026-09-28T08:18:58.979Z"
meta:
  description: "Miriam’s case for whoever can move it forward: her clinical course at a glance, labs since 2021 and what tissue exists and where. Every number with its source."
  "og:description": "Miriam’s case for whoever can move it forward: her clinical course at a glance, labs since 2021 and what tissue exists and where. Every number with its source."
  "og:title": "The case in data: clinical course, labs and available tissue"
  "twitter:description": "Miriam’s case for whoever can move it forward: her clinical course at a glance, labs since 2021 and what tissue exists and where. Every number with its source."
  "twitter:title": "The case in data: clinical course, labs and available tissue"
---

# The case in data

Miriam’s clinical course at a glance, and where every number comes from.

Updated Sep 28, 2026 · [~~Download the data~~](https://helpmiriam.com/datos/caso.json)

A summary of her reports, as decision support. Not a diagnosis or medical advice.

Breast cancer with neuroendocrine differentiation (BC-NED), HR+/HER2− (IHC 0), biopsy of Jan 2024 ✓ verified

[Pathology and molecular profile on The science page →](https://helpmiriam.com/en/science)

## Today

- ECOG0Sep 9, 2026✓ verified
- Systemic lines31L · 2L · 3L
- Never receivedchemotherapy · ADC · immunotherapy · radioligands / PRRT · cell therapy · elacestrant✓ verified
- Central nervous systemnot studied (not a negative)✓ verified

- **Bone**: innumerable blastic/mixed/lytic metastases throughout the skeleton ✓ verified
- **Liver**: multiple metastases since Jul 2026, increasing ✓ verified
- **Right breast**: upper outer quadrant primary 15 mm (BI-RADS 6), slightly increasing ✓ verified
- No RECIST-significant lung or nodal metastases ✓ verified

TreatmentNo systemic line Goserelin ongoing. Next: Datopotamab deruxtecan, planned for Oct 2026. In TROPION-Breast06 (VHIO): tests before the first dose. ✓ verified last 90 days · tall = on treatmentsince Sep 9, 2026 (end of 3L)✓ verified See the treatment timeline CA 15-3512.8UI/mL▲ above range 14.7 times the upper limit before: 509.5 · Sep 8, 2026Sep 16, 2026 Hemoglobin10.6g/dL▼ below range before: 7.8 · Sep 8, 2026 In between, a transfusion in the emergency room on Sep 9. ~ inferredSep 16, 2026 Liver (AST)1.7×upper limit▲ above range AST 59 · ALT 38 U/L before: 2.9× (100 U/L) · Sep 8, 2026Sep 16, 2026