Tmreatment of hormone dependent fungating carcinoma of breasyt with secondaries in lung is
Hormonal therapy in Carcinoma in breast Ovarian suppression or ablation Bilateral oophorectomy. Medically by LHRH agonist (Goserelin, leuprolide) SERM: Tamoxifen and Raloxifen Aromatase Inhibitors Non-steroidal : Letrozole & Anastrazole Steroidal : Exmestane Anti-Estrogens Fulvestrant Progestins Megesterol & Medroxyprogesterone acetate Ref: schwaz's principle of surgery 10th edition Pgno : 552-553
Simple mastectomy and oophoroctomy
Radical mastectomy and oophoroctomy
Adrenalectomy
Lumpectomy followed by castration
Endocrinology and breast