title: A Synchronous undifferentiated nasopharyngeal carcinoma and infiltrating ductal carcinoma of the breast successfully treated with induction chemotherapy followed by local control of both tumours: a case report.
abstract: BACKGROUND
  Multiple primary cancers have a low incidence particularly when cancers are synchronous. Few cases of synchronous head and neck cancer and breast carcinoma are reported in the literature.
  
  
  METHODS
  We report here an exceptional case of a 47 years old Moroccan woman presenting two synchronous cancers, the first in the nasopharynx and the second in the breast. The patient was treated successfully with a combined strategy associating chemotherapy, radiation therapy, and surgery. She remains disease free after 27 months of follow up.
  
  
  CONCLUSIONS
  Treatment strategy in the case of multiple primary cancers remains controversial because of the variety of presentations; initial aggressive treatment reports good results.
authors.affiliation: Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco. mohamedmesmoudi@yahoo.fr.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Mesmoudi
authors.forename: Tarik
authors.initials: T
authors.lastname: Mahfoud
authors.forename: Nabil
authors.initials: N
authors.lastname: Ismaili
authors.forename: Khadija
authors.initials: K
authors.lastname: Rami
authors.forename: Meryem
authors.initials: M
authors.lastname: Kamouni
authors.forename: Laila
authors.initials: L
authors.lastname: Jroundi
authors.forename: Hassan
authors.initials: H
authors.lastname: Errihani