CASE 230:CONTRALATERAL BREAST CANCER (CBC), Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

WOMAN 64 YO, 10 YEARS BEFORE SHE WENT THROUGH RIGHT MASTECTOMY BY BREAT CANCER [ T2N1MX ]. HISTOLOGY REPORT POST OP WAS DUCTAL CARCINOMA , NOS, ER, PR NEGATIVE. NO CHEMO NOR RADIOTHERAPY.

NOW SHE DETECTED BY HERSELF ONE MASS AT LEFT BREAST. ON ULTRASOUND IT WAS A TUMOR WITH CALCIFICATION, SIZE OF 4 CM AND BIG AXILLARY NODE (2 IMAGES).

MAMMOGRAPHY ALSO SUSPECTED MALIGNANT TUMOR.

MSCT OF THORAX : NO RECURRENT ON RIGHT SIDE, THE LEFT BREAST HAD TUMOR NEAR THE NIPPLE AND AXILLARY NODE. NOTHING DETECTED ANOTHER LESION OF OTHER ORGAN.

WHAT IS YOUR IDEA ? IT IS METASTASIS TO LEFT BREAST FROM THE FIRST BREAST CANCER OR SECOND CONTRALATERAL BREAST CANCER? 

POST OP  mastectomy and removing  10  lymph nodes. Microscopy reported  that  ductal carcinoma with  metastasis  axillary lymph nodes.  It had same  histology  with   cancer   right breast  10 years  before, so it was   second  breast  cancer,  a  contralateral  breast cancer  after  10 years.
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