My mom 52 yr old had been complaining abt back pain on and off since last 6 months and was taking treatment for it with worsening symptoms then noticed a lump in the left breast with inverted nipple one month back and was recently diagnosed with metastatic breast cancer following a biopsy and PET scan. .the biopsy revealed grade 2 with ER +ve 90% PR +ve 25%, HER2 -ve Ki67 25 and pet scan showed multiple lytic lesions in the spine and the acetubulum (>10 metastases in the bones) and multiple lymph node metastases in and around the left breast. Her main problem currently is back pain and pain around the right hip and buttocks with difficulty in turning, sitting and walking..major problem is sitting although she feels better with analgesics (dynapar ec) and rest. we are very worried as to what should be the treatment protocol now..we had consulted a doctor in the town side and he has referred us to a doctor in borivali which is close to our place..but we are not sure if we should start with chemo or hormone therapy & biphosphonates..also should radiation be given or should we consult an orthopaedic surgeon for spinal surgery?? We stay on the fourth floor without a lift thus even travelling for radiation is a problem..the situation right now is making us feel so helpless..we are very worried abt the prognosis..kindly help and give your valuable advice..thanks
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