Bilateral synchronous carcinoma breast- a rare case presentation.

Area of Science:

• Oncology
• Pathology
• Radiology

Background:

• Bilateral breast carcinoma (BBC) is rare, with synchronous cases accounting for 2-5% of breast malignancies.
• Synchronous BBC often involves local/lymphatic spread or distant metastasis.
• This report details a rare case of synchronous BBC with Infiltrating Ductal Carcinoma (IDC) as primary and Lobular Carcinoma as secondary.

Purpose of the Study:

• To report a rare case of synchronous bilateral breast cancer with distinct histological subtypes.
• To emphasize the importance of early detection and meticulous diagnosis in managing BBC.
• To discuss the implications for treatment strategies and patient prognosis.

Main Methods:

• A 56-year-old female presented with distinct tumors in both breasts.
• Diagnostic procedures included wedge biopsy, Fine Needle Aspiration Cytology (FNAC), and histopathology.
• Treatment involved hormonal therapy (Tamoxifen), chemotherapy (Cyclophosphamide, 5-FU, Doxorubicin), and radiotherapy.

Main Results:

• Histopathological examination confirmed synchronous primary tumors with different subtypes (IDC and Lobular Carcinoma).
• The patient responded well to the multimodal treatment regimen.
• No recurrence or metastasis was observed during an 8-month follow-up period.

Conclusions:

• Synchronous bilateral breast cancer with differing histological types is a rare clinical entity.
• Early detection through methods like breast self-examination and advanced screening tools (e.g., MRI) is critical.
• Personalized management strategies are essential for improving survival and quality of life in patients with BBC.