Successfully treated synchronous double malignancy of the breast and esophagus: a case report.
BACKGROUND
The incidence of multiple primary cancers is reported to be between 0.3% and 4.3%. The second primary lesion is identified either simultaneously with the primary lesion (synchronous) or after a period of time (metachronous). Few cases of metastasis of breast carcinoma to the esophagus and vice versa have been reported in the past.


METHODS
We report an extremely rare case of a 55-year-old Indian woman who had carcinomas in both the esophagus and the breast simultaneously. She was treated successfully using combined modalities of surgery, chemotherapy and radiation therapy.


CONCLUSIONS
Cases of synchronous double malignancies can be treated by dealing with the malignancy in the two sites as independent carcinomas. We have to take into consideration the total dose of radiation to a critical organ as well as the effect of the total dose of toxic chemotherapeutic drugs on our patient.
Department of Radiation and Clinical Oncology, Swami Rama Cancer Institute, UFHT Medical College, Haldwani, India. hivneg@gmail.com.
Abhishek
A
Singh
Ishwar Chandra
IC
Khare
Awadhesh Kumar
AK
Dixit
Kailash Chandra
KC
Pandey
Deepak Kumar
DK
Mittal
Parul
P
Singh