RARE CASE REPORT OF DOUBLE MALIGNANCY URETERAL AND BREAST CARCINOMA.
Abstract
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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