RARE CASE REPORT OF DOUBLE MALIGNANCY URETERAL AND BREAST CARCINOMA

Ureteral cancer and breast cancer can occur 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.