What can help a breast cancer patient, with stage 3 cancer, she got chemo treatment 2 years ago, when it was the size of a baseball, chemo almost killed her, she was told they gave her to much, so she has since refused any treatment, for a while there was no sign of the lump but then it came back, so now its growing and her breast looks so bad as though its getting rawl, she cleans it and wears a breast pad for the leackage of blood. Lately she has started to bleed for hours at a time, what should she do, should she apply pressure or just let it bleed out. she does not feel sick or weak after.
Hi. There are a couple of things which can be done to stop the bleeding, which is the more pressing problem in this case. One is to perform "toilette mastectomy" - remove the breast and as much of the bleeding mass as possible. If the tissue which remains around the surgical wound is sufficiently clear of cancer, it should stop bleeding and heal normally. The other option is to do radiotherapy, which will hopefully "burn" the mass and dry up the wound. A combination of these two procedures can also be done to optimize treatment.
Chemotherapy can also help dry up the bleeding, although I understand that the patient does not want to take this option since she has had a bad experience previously. She may want to reconsider though. Surgery and radiotherapy can treat any localized recurrence, but she may need chemotherapy if she has recurrence in other parts of the body.
She may have also lost a significant amount of blood because of the prolonged bleeding, and this may have to be replaced, either by blood transfusion or erythropoeitin injections.
Sorry to hear about your friend’s condition. She has recurrence of the breast cancer and is ideally classified under locally advanced breast cancer ( Stage IV) . Probably bleed from the surface of the bed is due to ulcerations. Kindly do consult your breast surgeon as early as possible and discuss with him further course of action which could be either palliative care in combination with toilet mastectomy.
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