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She is 76. Have a lump in breast. Cytopathology Reports says cellular cytosmere shows tumor cell arranged in multilayered cluster, papilloriod fronds and multilayered sheets. These shell show high n/c ratio nuclear pleomisphism, irregular nuclear chromatin. Tumor are intermingled with stromal fragments. Invasive ductile carcinoma of breast. And ultrasound report says irregular solid hypoechic mass lesion in left upper lateral quadrant and periareiolar region in 10' clock position to the nipple A/W area of necrosis-neoplasm. Few enlarged left axillary lymph nodes- metastasis. She is a heart patient and is taking medicine for diabetes. Right now her fasting sugar level is 99. Please suggest wat to be done. And where. She is at rourkela odisha right now.
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If operable Surgery is first treatment, followed by applicable post surgery management If inoperable, should do FNB ER/PR/Her 2. Status, followed by treatment plan.
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