Today my mother-in-law was diagnosed with breast cancer stage 4. She is having a fracture in the hip bone for two days and was admitted in hospital for that. Later, it was diagnosed as cancer. They are planning to do surgery for fracture and after that chemotherapy. Now she is unable to walk or sit. Is there any risk in doing surgery at this stage 4 of cancer? What are the treatment for this stage? What is the prognosis? Please give us a reply.
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She needs PET-CT whole body scan to establish the sites of metastasis involved all over the body. Breast cancer only with bone metastasis has a good prognosis. She needs six cycles of chemotherapy first and then reassessment. Surgery is indicated for spine or bone for fixation of fracture and local radiotherapy. Surgery or radiation for breast is not warranted at present. If the spread involves liver, lung or brain other than bone, then prognosis will be bad.
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