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2 lumps( size not known / 17 out of 18 lymph nodes cancer cells- spread to sternum and vertebrae seen on scan. What would be best treatment?

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What you are describing is metastatic breast cancer. Not all breast cancers are the same. Many factors influence the prognosis and the treatment including performance status, and other personalized factors such as the hormonal status, her 2 neu status or whether the disease is negative for these factors.
This case is beyond the scope of our short educational answers and deserves an in depth review of all the records and images. You can get such a consultation and the best personalized advice from Cancerdocs online. To do so follow this link.

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