Last month, the patient (mane withheld) visited Bhaktivedanta Hospital to examine a lump in the right breast. A biopsy showed breast cancer, which was a little in the advanced stage. The patient then underwent a whole body PET-CT scan to rule out spread to any other part. The scan detected a large nodule in the right lobe of the thyroid and also in the lymph nodes of the neck. "Usually, cancer spreads from one body part to another. Rarely do multiple tumours grow in different parts," said oncologist Dr Vishnu Agarwal, who operated on the patient.
The biopsy report of the thyroid confirmed Agarwal's diagnosis. It revealed that it was medullary carcinoma of thyroid and the neck nodes were from the thyroid cancer and not from breast cancer. "The patient didn't experience any symptoms related to thyroid like swelling in neck. Nor did she or her family have any past history of the disease," said Dr Agarwal, who believes one in a few lakh patients can suffer from more than one type of cancer.
But doctors said that as the cancers were independent, they could be operated upon and cured. "Cancer usually spreads to other body parts in stage four, where the treatment is mainly palliative with no permanent cure," said Dr Agarwal.
On December 26, a five-hour surgery was conducted to remove both the cancerous tumours and draining of their lymph nodes was performed. The lymph nodes were slowly dissected and removed off the vessels without any injury to vital structures like internal jugular vein and common carotid artery injury. The patient underwent a total throidectomy and bilateral neck dissection followed by surgery for breast cancer (modified radical mastectomy).
The patient has now been cured of the disease and will have to visit the hospital for radiation and chemotherapy of the breast for about four months.
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