secondary breast cancer

hello doctor,
kindly guide us as per the treatment, diagnosis, and survival expectancy in case of secondary Breast cancer diagnosed in urinary bladder MRI pelvis showed 7.5x5.00 cm mass involving utreine cervix, involves the utreine corpus and caudally involving the vagina upto introitus. bilateral parametrium involved. Rectum and bladder involved causing sticture of right lower ureter causing hyroneophrosis and hydroureter . bilateral external iliac nodes. cervix biopy showed large cell non keratinising sqaumous cell carcinoma P/S examination cervix replaced by huge ulceroinfiltrative growth . vagina involved upto introitus rectal mucosa anterior wall growth felt with min eduration . cystoscopy showed bullous edema  in proximal urethra and posteriorly bullous edema/growth present at trigone .posterior bladder wall pulled anteriorly cephloid to trigone .posterior bladder wall pulled anteriorly to cephloid to trigone . bladder piopsy showed squamous cell carcinoma . she was planned and started on EBRT along with concurrent chemothreapy  on 14.08.2007 . presently she was admitted for Cisplatin based chemo which she tolerated well.

kindly give us exact position as whether she will recover or not or how much time will this take.

[Dennis MD]

Hi.
Based on the data that you presented, it seemed that the primary cancer is in the cervix that has metastasized/extended to the urinary bladder.  The common histology of cervical cancer is squamous cell, whereas that of urinary bladder cancer is transitional cell with only 8% are squamous cell.
Most of the time, this condition is treated with concurrent chemoradiotherapy.  The prognosis will depend on patient's response to treatment.  If there is a residual cancer after the said treatment, other treatment options are available.  Survival is prolonged with available treatment, as compared to best supportive care.
Secondary breast cancer from a cervical cancer is not common.  It would be best though to be vigilant and undergo regular screening not only for secondary breast cancer but also other potential cancer sites.
Good luck.