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Advance breast cancer still becomes a debate among surgeons either to act aggressively in view of the survival outcome. However the problem may arise from the disease progress which can be complicated by sepsis due to infection, severe bleeding, foul odour and sensation of heaviness. The decision will be more complicated if it occurs among geriatric patients. Here we presented a case of neglected right breast cancer which was treated late when it occupied the whole breast. The histopathological results revealed Poorly Differentiated Infiltrating Ductal Carcinoma and CT scan showed liver and lung metastases (Stage IV). Palliative mastectomy was done to prevent complication such as infection and sepsis, bleeding and to reduce the sensation of heaviness. The discussion focused on the role of mastectomy to improve quality of life in elderly with advance breast cancer. For More: https://www.omicsonline.org/open-access/9-quality-of-life-after-palliative-mastectomy-for-stage-iv-breast-cancer-in-elderly-1584-9341-10-3-9.php?aid=36235
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