Short communication, Note
THE IMPORTANCE OF OVERALL APPROACH TO THERAPY FOR ADVANCED BREAST CANCER: A CASE REPORT
Damir Eljuga
Stjepan Juzbašić
Josip Stojanović
Marko Doko
Rudolf Tomek
Ingrid Marton
Ljerka Eljuga
Goran Grubišić
Abstract
A 45-year-old patient was admitted to the Clinic because of expansive process in the abdominal cavity. Previously year and half before she was operated and reduction of the tumor mass, bilateral adnexectomy and omentectomy were performed, just following embolization of the tumor in order to make it smaller and more suitable for ¬operation. A metastatic carcinoma of the ovary was found. Seven years previously a total mastectomy was performed when ductal ¬invasive carcinoma was diagnosed. During relaparotomy we found uterus, rectum and distal part of sigmoid colon in a ¬total block, enlarged right inguinal lymph nodes and mesenterial ones. We performed hysterectomy, resection of ¬rectum sec. Dixon and anastomosis, dissection of right inguinal lymph nodes and mesenteric ones. Postoperatively she underwent chemotherapy. Unfortunately, she died a year after, and eight years after the breast carcinoma has been ¬diagnosed, although her life quality was relatively good. Taking into consideration the stage of the disease and its clinical course, we believe that both the length of survival and the quality of life of our patient resulted from the multidisciplinary approach. Therefore, control examinations for any breast cancer patients should also comprise a gynecological exam, ¬always taking into consideration that breast cancer may metastasize to the ovaries.
Keywords
breast carcinoma; metastatic ovarian carcinoma
Hrčak ID:
15810
URI
Publication date:
1.3.2006.
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