A 73 years old patient was admitted with complaints of a tumor-like lump in the left mammary gland, skin ulceration over

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A 73 years old patient was admitted with complaints of a tumor-like lump in the left mammary gland, skin ulceration over the lump, left arm swelling, pain in the lumbar region. Lump is gradually increasing in size, appeared two years ago. During the last month, there was hand swelling and ulceration over the lump.
Examination: In the upper-outer quadrant of the left breast, a lump with a diameter of six cm is determined, motionless, with indistinct tuberous contours, with ulceration a diameter of five cm. In the left axillary region, a motionless conglomerate of lymph nodes 5x3x3 cm is palpated.
If this ulcers associated with tumor what stage of cancer will be?
answer _
patient has STAGE 4 CANCER Staging of breat cancer is as follows:TX: The tumor cannot be evaluated.TO : There is no evidence of cancer in the breast. Tis: This is carcinoma in situ. The cancer is confined within the ducts of the breast tissue and has not spread into the surrounding tissue of the breast. There are 2 types of breast carcinoma in situ:Tis (DCIS): DCIS is a non-invasive cancer, but if not removed, it may develop into an invasive breast cancer later. DCIS means that cancer cells have been found in breast ducts and have not spread • past the layer of tissue where they began.Tis (Paget's): Paget disease of the nipple is a rare form of early, non-invasive cancer that is only in the skin cells of the nipple. Sometimes Paget disease is associated with an invasive breast cancer. If there is an invasive breast cancer, it is classified according to the stage of the invasive tumor.T1: The tumor in the breast is 20 millimeters (mm) or smaller in size at its widest area. This is a little less than an inch. This stage is then broken into 4 substages depending on the size of the tumor:• T1mi is a tumor that is 1 mm or smaller.T1a is a tumor that is more than 1 mm but 5 mm or • smaller in sizeT1b is a tumor that is more than 5 mm but 10 mm or . smaller in sizeT1c is a tumor that is more than 10 mm but 20 mm . or smaller in sizeT2: The tumor is more than 20 mm but not than 50 mm in sizeT3: The tumor is more than 50 mm in sizeT4: The tumor falls into 1 of the following groups:T4a means the tumor has grown into the chest wall.• T4b is when the tumor has grown into the skin. T4c is cancer that has grown into the chest wall and• the skin. T4d is inflammatory breast cancer
patient has STAGE 4 CANCER Staging of breat cancer is as follows:
TX: The tumor cannot be evaluated.
TO : There is no evidence of cancer in the breast. Tis: This is carcinoma in situ. The cancer is confined within the ducts of the breast tissue and has not spread into the surrounding tissue of the breast. There are 2 types of breast carcinoma in situ:
Tis (DCIS): DCIS is a non-invasive cancer, but if not removed, it may develop into an invasive breast cancer later. DCIS means that cancer cells have been found in breast ducts and have not spread • past the layer of tissue where they began.
Tis (Paget's): Paget disease of the nipple is a rare form of early, non-invasive cancer that is only in the skin cells of the nipple. Sometimes Paget disease is associated with an invasive breast cancer. If there is an invasive breast cancer, it is classified according to the stage of the invasive tumor.
T1: The tumor in the breast is 20 millimeters (mm) or smaller in size at its widest area. This is a little less than an inch. This stage is then broken into 4 substages depending on the size of the tumor:
• T1mi is a tumor that is 1 mm or smaller.
T1a is a tumor that is more than 1 mm but 5 mm or • smaller in size
T1b is a tumor that is more than 5 mm but 10 mm or . smaller in size
T1c is a tumor that is more than 10 mm but 20 mm . or smaller in size
T2: The tumor is more than 20 mm but not than 50 mm in size
T3: The tumor is more than 50 mm in size
T4: The tumor falls into 1 of the following groups:
T4a means the tumor has grown into the chest wall.
• T4b is when the tumor has grown into the skin. T4c is cancer that has grown into the chest wall and
• the skin. T4d is inflammatory breast cancer
##question
What N and M will be in this patient????????!!