Case Report: Synchronous primary malignancy including the breast and endometrium [version 3; referees: 2 approved]

• Published in: F1000Research
• Main Authors: Elham Sadat Banimostafavi, Sepideh Tayebi, Maryam Tayebi, Fatemeh Montazer
• Format: Article
• Language: English
• Published: F1000 Research Ltd 2018-07-01
• Subjects: Breast Diseases: Benign & Malignant; Gynecological Cancers
• Online Access: https://f1000research.com/articles/6-1502/v3

Breast and endometrial cancer are the most common types of female cancers, but the incidence of both of these malignancies in a single patient is a rare event. Multiple primary malignancy has been increasingly reported over the past decade, and double primary cancer is considered as the most common type.  In this study, we present a 53-year-old woman with synchronous primary malignancy of breast and endometrium. This patient had a history of breast and endometrial cancer in her family. Mammography and chest CT of the patient revealed a mass in the right breast and left supraclavicular region. However, the patient did not want to initiate treatment. Subsequently, the patient returned with a chief complaint of persistent abnormal vaginal bleeding. Abdominopelvic CT scan of the patient revealed a huge soft tissue mass in the pelvic cavity. She underwent hysterectomy, and pathology revealed endometrioid carcinoma, which had invaded the full thickness of uterine wall. Since this type of malignancy is rare and several risk factors are associated with it, it is worth being considered by clinicians when making decisions about screening or strategy for prevention.