Would hormone therapy shrink a large breast tumor in a 79 year old?

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Hormone therapy will shrink the hormone-sensitive mass, but by how much is difficult to predict. It is really helpful if the patient has poor performance status and significant comorbidities.

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Your patient is 79 years old. Comorbidities like diabetes, hypertension, ischemic heart diseases, renal, or hepatic diseases may exist. Performance status means if your patient is fully active as a normal person or sick and her routine physical activities are limited or she is bedridden.

All these will affect the aggressiveness of the treatment. Even if none of above is there in your patient, still she may not tolerate aggressive chemotherapy because of her age. So hormone therapy is a valid option in such patients who are hormone-positive.

I hope it is clear now.