my mother is diagnosed with breast carcinoma with bone metastasis and she underwent for 18 weekly paclitaxel 100mg and every 21days zolendronic inj.After we have did 2nd PET CT scan for comparison and the result is mixed response in bones and tumor size was deceased from 2.8*2.2 cm to2.4*2.2cm .Her Biopsy report is ER-90% positive,PR-90% positive,HER Negative .Now doctor suggested the following options
1.Letrozole tablet or Fulvestron INJ
2.Palbase with Fulvestron
after that we are taken medical opinion from other doctor and suggested the following
1.Serum-LH,FSH,Estradiol TEST before harmone therapy.after the result go for PALBASE with Letrozole.
same time another doctor advised PALBASE will be available free of cost for BPL families from company, before we need to submit the some documents.Whether it is correct?
In view of the above please clarify
1.It is learnt that In market PLBASE price is 95000 any difference will be there for this free medicine and purchase medicine?
2.PALBASE+Fulvestrant option is better or PALBASE+Letrozole is better?
3.Before going for Harmone therapy the mentioned tests is necessary ? as because our doctor is told no need of any tests but 2nd doctor suggested the tests(My mother already went for Hysterectomy 20 years back)