How would you manage a patient simultaneously diagnosed with T2N1M0 triple negative breast cancer and T3N2M0 rectal adenocarcinoma?

That is a tough one. I would do the breast surgery first then shortly after do short course radiation to the rectal cancer. Then 1-2 weeks later start 4-6 cycles of dose dense FAC or FEC + Neulasta (to get some 5fu in) followed by the rectal cancer surgery. Then I would do radiation to the breast re...