Synchronous occurrence of primary mucinous carcinoma of recto-sigmoid colon and primary breast Carcinoma: A case report and review of literature

Taha A. Baiomy , Mahmoud Sherbiny , Ahmed Lotfy Sharaf , Ola A. Harb , Fouad AbuTaleb
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Abstract

Background

Multiple primary malignant tumors (MPMTs) is simultaneous occurrence of two or more malignancies in different sites with different histopathological type and origin.

Diagnosis and management of those patients are challenging due to uncertain guidelines.

Case Presentation

A 63-year-old postmenopausal female patient of synchronous MPMTs in which the patient was diagnosed with a malignant mass in recto-sigmoid colon and a synchronous breast cancer was incidentally discovered during clinical and radiological patient evaluation.

Treatment

Both colon procedure and breast procedure were performed together in one setting. The anterior resection of the reco-sigmoid mass and colocolonic anastomosis were done.

Conclusion

Synchronous colon and breast cancer treatment plan should be individualized for each patient through a complete preoperative evaluation and MDT meeting to provide the best possible treatment for the patient.

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原发性直肠乙状结肠黏液癌与原发性乳腺癌同时发生1例报告及文献复习
背景多发性原发性恶性肿瘤是指两种或两种以上恶性肿瘤同时发生在不同部位,具有不同的组织病理学类型和起源。由于指导方针的不确定性,这些患者的诊断和管理具有挑战性。病例表现一名63岁的绝经后女性同步MPMT患者,在临床和放射学患者评估过程中,意外发现该患者被诊断为直肠-类结肠恶性肿块和同步乳腺癌症。治疗结肠手术和乳腺手术在一个环境中同时进行。行乙状结肠后部肿块的前切除和结肠吻合。结论癌症同步治疗方案应通过完整的术前评估和MDT会议,针对每个患者进行个性化治疗,为患者提供最佳的治疗方案。
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