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IHC results and looking for advice for treatment...

Hi, my mom (79 years old) was diagnosed with breast cancer last week, I think it's stage I (less than 2cm in size, and lymp nodes are fine, whole body ultrasound scan + lung/head CT are also fine). here is her report:

ER + 90%; PR + 40%; AR + 70%; C-erbB-2 ++ (waiting for FISH results); P53 -; Ki-67 + 20%; CK5/6 -; E-cad +; EGFR weak +

Doctor has prescribed letrozole (mainly because of her age).

I'm thinking surgery might be a better option. any advice?

Thank you!
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