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并行之战:同步性宫颈癌与三阴性乳腺癌的管理

Parallel Battles: Managing Synchronous Cervical and Triple-Negative Breast Cancers.

作者信息

Kouhen Fadila, Chahid Malak, El Mjabber Reyzane, Benslima Najwa, Mahdi Youssef

机构信息

Radiotherapy, International University Hospital Sheikh Khalifa, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR.

Radiology, International University Hospital Sheikh Khalifa, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR.

出版信息

Cureus. 2024 Sep 25;16(9):e70201. doi: 10.7759/cureus.70201. eCollection 2024 Sep.

Abstract

Multiple primary malignancies (MPMs) present diagnostic and therapeutic challenges, especially given their rarity and the distinct treatment strategies required. We report a case of a 66-year-old postmenopausal woman who presented with synchronous triple-negative breast cancer (TNBC) and cervical cancer, an uncommon and complex clinical scenario. Given the complexity of her condition, a comprehensive multidisciplinary approach was employed. The treatment strategy included neoadjuvant chemotherapy for breast cancer, followed by breast-conserving surgery and axillary lymph node dissection. Simultaneously, cervical cancer was addressed with concurrent chemoradiotherapy and brachytherapy. Remarkably, the patient demonstrated complete pathological responses in both the breast and cervical tumors following treatment. At 26 months of follow-up, she remains free of disease recurrence. This case highlights the challenges of managing synchronous TNBC and cervical cancer. It underscores the necessity for individualized treatment plans and seamless multidisciplinary collaboration to achieve optimal patient outcomes.

摘要

多发性原发性恶性肿瘤(MPMs)带来了诊断和治疗方面的挑战,尤其是考虑到其罕见性以及所需的独特治疗策略。我们报告了一例66岁的绝经后女性病例,该患者同时患有三阴性乳腺癌(TNBC)和宫颈癌,这是一种罕见且复杂的临床情况。鉴于其病情的复杂性,采用了全面的多学科方法。治疗策略包括对乳腺癌进行新辅助化疗,随后进行保乳手术和腋窝淋巴结清扫。同时,采用同步放化疗和近距离放射治疗来处理宫颈癌。值得注意的是,治疗后患者的乳腺和宫颈肿瘤均表现出完全病理缓解。在随访26个月时,她仍无疾病复发。该病例凸显了同时管理TNBC和宫颈癌的挑战。它强调了制定个性化治疗计划以及无缝多学科协作以实现最佳患者预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c00b/11510080/6c0feaddacd7/cureus-0016-00000070201-i01.jpg

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