Synchronous primary lung and breast carcinoma removed via a single incision

Area of Science:

• Oncology
• Surgical Oncology
• Thoracic Surgery

Background:

• Synchronous primary lung and breast cancer is rare.
• Managing patients with multiple comorbidities presents unique challenges.

Observation:

• A middle-aged female presented with recurrent chest infections, leading to the diagnosis of synchronous primary lung and breast cancer.
• The patient had multiple comorbidities, necessitating a tailored treatment strategy.

Findings:

• A Multi Disciplinary Team (MDT) recommended simultaneous resection of both cancers under a single anesthetic.
• The patient underwent a left mastectomy with axillary node clearance followed by a left lower lobectomy via the same incision.
• Post-operative recovery was uncomplicated, with discharge on postoperative day 7, comparable to standard lobectomy length of stay.

Implications:

• This case underscores the value of a pre-planned, multidisciplinary approach for managing synchronous malignancies.
• Simultaneous surgical resection can be an efficient and effective strategy, improving patient outcomes even in complex cases.