title: Multiple metachronous malignancies, one patient with three primary malignancies: a case report.
abstract: We present a 61 year old Para 4 woman who presented with stage II Infiltrating lobular carcinoma of the breast after modified radical mastectomy. She was treated with Tamoxifen for seven years. She was diagnosed with multiple myeloma during year seven post mastectomy because of wrist pain. She was treated with melphalan, prednisone and allopurinol which she tolerated well and the pain in the wrist improved. Tamoxifen was also stopped. Ten months later she presented with vaginal bleeding and was diagnosed with a poorly differentiated endometrial adenocarcinoma at hysteroscopic suction curettage and had an abdominal hysterectomy. Two years later the patient succumbed to metastatic endometrial cancer.
authors.affiliation: Department of Obstetrics and Gynaecology, University of the West Indies, Mona, Kingston, Jamaica. horace.fletcher@uwimona.edu.jm.
authors.forename: Horace
authors.initials: H
authors.lastname: Fletcher
authors.forename: Gilian
authors.initials: G
authors.lastname: Wharfe
authors.forename: Elaine
authors.initials: E
authors.lastname: Williams
authors.forename: Barrie
authors.initials: B
authors.lastname: Hanchard
authors.forename: Derek
authors.initials: D
authors.lastname: Mitchell