T4 breast cancer. Fungus or cauliflower like appearances chronic pain, freauent infections foul smell, social isolation and general debilitation. Skin involvement has progressed to frank t4b diseases neoadjuvant chemotherapy frequently and mastectomy to breast cancer
Isn't this called Paget's? I had a patient with this, only worse. It smelled really bad. She was found passed out riding public transportation for an unknown period of time and was homeless. She had no income nor insurance and didn't seek treatment for that reason. It was very sad. She died about 3 weeks later. It was already too late for chemo and surgery to help, but we tried.