A SIMULTANEOUS DOUBLE CANCER OF THE BREAST AND MALIGNANT MELANOMA IN A YOUNG WOMAN

A case of simultaneous double cancer of the breast and malignant melanoma is reported. A 33-year-old single woman with a lentigo on left sole was admitted to the department of dermatology for further examination. In the same time, she moticed her left mastalgia and bloody nipple discharge. But no lump was palpated in the breast. She was performed a wide tumor excision of the left sole, and histological diagnosis was malignant melanoma. Initially, it was diagnosed that the complaints night depend on mastopathy, but cytological findings of the specimen indicated an existance of breast cancer. Mammography showed scattered malignant calcification and ultrasonography showed intraductal spreading. From these findings, a non-invasive ductal carcinoma on the left breast was suspected. Wide exsicion with out axillary dissection and radiation therapy were performed by histological findings. The postoperative course was uneventful and no tumor has recurred for about one year after the operation. There are a few reports of double cancer of the breast and malignant melanoma. The cancer patients must be followed up with attention to probable second malignancy.