SYNCHRONOUS TUMOR OF BREAST AND CERVIX: A CASE REPORT
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2019, Vol 5, Issue 1
Abstract
ABSTRACT: Multiple primary malignancies, metachronous or synchronous in a single patient is a relatively rare event, however during the past decade there has been an increase in the incidence of multiple primary malignancies being reported. These malignancies seem to be diagnosed in a higher incidence than that predicted by influence of hazards. Furthermore increased survival of cancer patients, the growing life expectancy and the development of improved diagnostic techniques all have contributed to the increased frequency of multiple primary malignancies. Whenever these malignancies are found they raise questions regarding not only possible common etiologic factors or same pathogenetic mechanisms, but also pose challenge to clinicians to find anticancer therapy strategy that covers both cancer types without increased toxicity or relevant pharmacological interactions and without negative impact on outcome. CASE PRESENTATION : A 65 year old Hindu female presented to opd of gynecological oncology of IGIMS, Patna with the complain of pain and lump in left breast for 6 months and something coming out per vaginum for 10 years. Histopathology of cervix showed squamous cell carcinoma grade 2 (large cell non keratinising) and clinical stage was Ib2. HPE of mastectomy specimen showed infiltrating duct carcinoma with no lymphovascular invasion. Patient was treated with surgery for cancer of both the sites. Patient is on regular follow up having no fresh complains and clinically no evidence of disease. Thus it was concluded that patient responded well to treatment. Treatment strategies in case of synchronous double malignancy depends on treating the malignancy that is more advanced first or both could be treated simultaneously. In our case we concluded that synchronous double malignancy may be treated successfully simultaneously. Both tumors should be treated fully as if they were occurring independently.
Authors and Affiliations
Partibha kumari
Keywords
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