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44 yr old women with bleeding ulcer infiltrating breast mass and hard fixed axillary LN's. Next best step is-
AA Palliative mastectomy
BB Preoperative Chemo
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Is there anything else mentioned in the presentation? + are there any other choices + where is the ulcer.
?????What I mean is that could it possible be a stress ulcer. If it is we may have to address it first as it may not be able to stand the burden of surgery????
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It is Kaplan online Q bank question. Ulcer is near nipple.