Abstrait

An unusual case of metachronous ascending colon and breast malignancy.

Satyajeet Rath*, Rahat Hadi, Niraj Agarwal, Neerja Maurya

Multiple primary neoplasms are a rare entity and is a growing concern as cancer survivorship is rapidly increasing with timely diagnosis and treatment. The prognosis depends on the stage of the disease and adequate management results in good outcomes. Here, we present a case of dual metachronous malignancy of colon and breast, with the breast primary developing 3 years after the treatment of adenocarcinoma colon. She received right colectomy with ileo-colostomy for colonic malignancy, followed by 8 cycles of adjuvant Capecitabine and Oxaliplatin. The breast malignancy was infiltrating ductal type, pT1N1 and Estrogen receptor positive. It was treated with breast conservation surgery and subsequently, received adjuvant chemotherapy, radiotherapy and is currently on hormonal therapy with Tamoxifen 20 mg daily. A detailed family history and genetic testing should be considered in such cases.