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Simultaneous breast and axillary recurrence in a patient with a history of breast cancer and ipsilateral upper extremity melanoma: challenges in diagnosis and management

Abstract

Background. Nodal patterns of spread for breast cancer and melanoma have been extensively studied in the literature. The phenomenon of upper extremity melanoma and ipsilateral breast cancer has been previously reported. We describe a rare case of a simultaneous locoregional recurrence of both malignancies.
Case report. A patient with a previous diagnosis of stage 1A melanoma of the left upper extremity at age 29 developed left breast invasive ductal carcinoma 1 year later. The patient underwent a wide local excision with negative margins for the melanoma and a partial mastectomy with axillary dissection followed by chemotherapy and radiation therapy for her breast cancer. Five years later she was diagnosed with a dual recurrence while 36 weeks pregnant.
Conclusions. Regular follow-up according to the NCCN guidelines is critical in diagnosing a recurrence of malignancy. Pathologic analysis is paramount in dictating management strategies in rare cases of dual recurrence.

Tumori 2014; 100(4): e136 - e139

Article Type: CASE REPORT

DOI:10.1700/1636.17928

Authors

Malcolm Ross, Lejla Hadzikadic Gusic, David J Dabbs, Joseph Kelley, Emilia Diego

Article History

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Authors

  • Ross, Malcolm [PubMed] [Google Scholar]
    Department of Gynecologic Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
  • Gusic, Lejla Hadzikadic [PubMed] [Google Scholar]
    Department of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
  • Dabbs, David J [PubMed] [Google Scholar]
    Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
  • Kelley, Joseph [PubMed] [Google Scholar]
    Department of Gynecologic Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
  • Diego, Emilia [PubMed] [Google Scholar]
    Department of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

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