Synchronous multiple primary malignant neoplasms in breast, kidney, and bilateral thyroid: A case report

Figure 1 Ultrasound image. A: Breast nodules; B: The right lobe nodule of the thyroid gland; C: Thyroid isthmus nodules; D: Nodules in the left lobe of the thyroid gland; E: The kidney nodules.

Figure 2 Puncture pathology of breast nodules.

Figure 3 Pathology. A: Breast cancer; B: Kidney cancer; C: Thyroid cancer.

Figure 4 Immunohistochemical results. A: Estrogen receptor (+, medium intensity, approximately 80%, 1604/2000 cells); B: Progesterone receptor (+, medium-strong intensity, approximately 80%, 1596/2000 cells); C: CerbB-2 (1+); D: Ki67 (approximately 30%+).

Figure 5 Timeline of the treatment. EC: Endometrial cancer.