RARE CASE REPORT OF DOUBLE MALIGNANCY URETERAL AND BREAST CARCINOMA.
Abstract
individually in many patients. The occurrence of both in the
same patient is a rare phenomenon. A 52-year old
postmenopausal female, diagnosed as a case of Right
Ureteral cancer-T3N0M0 (HPE-Transitional cell carcinoma),
low-grade papillary type, had undergone Right nephrectomy
with bladder-cyst excision on August-2014. She also received
4 cycles of Inj.Gemcitabine and Inj.Cisplatin, following which
she noticed a lump in the Right breast, upper-outer quadrant.
Clinically it was a 4x4cm mass, mobile and non-tender with
axillary fullness. FNAC-smear was positive for malignancy.
Mammogram showed BIRADS-V and was staged as
cT2N0M0. Right Modified radical mastectomy was done in
January-2015, it was pathologically T3N0M0. HPE came as
Infiltrating ductal carcinoma Grade-II. 44 nodes dissected-no
tumor metastasis. Posterior margins-close margins.
Lymphovascular invasion ve. IHC-Triple Negative. This was
followed by 4cycles of FAC and 4cycles of Taxane. PMRT
was planned in two fieldsTangential portals for flap and Single
AP portal for drainage area with tracheal shield and Head of
humerus shield. 50Gy200cGy25 planned and executed
followed by Post-Axillary boost. This case is presented for its
rarity.
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