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Case Reports
. 2019 Dec 4;12(12):e232680.
doi: 10.1136/bcr-2019-232680.

Synchronous breast and colon cancer: the importance of multidisciplinary team cancer meetings

Hussain Adnan Abdulla  1 , Raed Almarzooq  2 , Amal Alrayes  2
Affiliations
Case Reports

Synchronous breast and colon cancer: the importance of multidisciplinary team cancer meetings

Hussain Adnan Abdulla et al. BMJ Case Rep. .

Abstract

A 58-year-old female patient presented with left breast lump. Mammography and ultrasonography were performed, which reported lesions suspicious of malignancy in the left breast and axilla. Core biopsy of the lesions revealed invasive ductal carcinoma with axillary lymph node metastasis. Staging CT scan (thorax, abdomen and pelvis) identified a coexisting neoplasm in the ascending colon. Colonoscopy was performed and the tumour in the ascending colon was biopsied. Histopathological examination revealed adenocarcinoma. In the multidisciplinary team cancer meeting, it was decided to treat the breast cancer first and then the colon cancer, followed by adjuvant chemotherapy. In the first operation, left modified radical mastectomy was performed. Two weeks after her initial operation, the patient underwent laparoscopic right hemicolectomy. Postoperatively, the patient did not develop any complications and was referred to oncology for chemotherapy.

Keywords: breast cancer; breast surgery; cancer intervention; colon cancer; general surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Mammogram showing suspicious spiculated opacity with specks of microcalcifications in the left breast.
Figure 2
Figure 2
CT chest showing a mass in the lower parenchyma of the left breast.
Figure 3
Figure 3
CT abdomen showing a mass in the ascending colon with thickening of the colonic wall.
See this image and copyright information in PMC

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