text: Yo, check it, listen up, I got something to say,
  Breast cancer, it's a group, genetically distinct, okay?
  Different treatments, different responses, that's a fact,
  And patterns of failure, local and systemic, impact.
  
  Now we got questions, about the best therapy,
  For those high-risk patients, it's a mystery, you see,
  The young ones, the triple-negative, and those with BRCA,
  They're considered at highest risk, gotta find a way.
  
  Speculations arise, should we go aggressive in the knife?
  More surgery for better outcomes, that's the strife,
  But hold up, age and triple-negative ain't the key,
  Mastectomy won't overcome that biology, see?
  
  So we don't recommend, more surgical intervention,
  For these higher-risk groups, it's not the right direction,
  But for those at inherited risk, it's a different story,
  Consider age, ER status, preferences, no need to worry.
  
  In the surgical decision-making process, we weigh it all,
  Patient's individual factors, we stand tall,
  So remember, it's a complex situation, my friend,
  But with careful consideration, we'll navigate and transcend.