Rectal metastasis from lobular breast carcinoma 15 years after primary diagnosis.
Lobular breast carcinoma represents 2-20% of infiltrative carcinomas of the breast. The incidence of extrahepatic gastrointestinal (GI) tract metastases observed in necropsy studies varies from 6% to 18% and the most commonly affected organ is the stomach, followed by colon and rectum [1-4]. Reported herein is the case of a 67-year-old woman who was primarily diagnosed and surgically treated for a lobular carcinoma of the breast 15 years ago and is now referred with back pain and right hydronephrosis caused by a metastasis in rectum. Frequently, the absence of specific symptoms of digestive metastases of breast cancer leads to a misdiagnosis of this pathology [5-7]. The treatment will be based on a detailed clinical history and histopathological findings. Metastases from breast cancer in GI tract tumours must be excluded in a patient with previous history of breast carcinoma, as in the case reported herein.
Department of General Surgery, Asuncion Clinic, Tolosa, Guipúzcoa, Spain. lopezdeogracias@hotmail.com
Maite
M
López Deogracias
Laura
L
Flores Jaime
Iñaki
I
Arias-Camisón
Ilde
I
Zamacola
Jesús
J
Murillo Guibert
Rosa
R
Suescun García
Juan
J
Querejeta Usabiaga
Francisco
F
Martínez García
D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology*; D018275:Carcinoma, Lobular / Q000175:diagnosis / Q000473:pathology*; D005260:Female; D006801:Humans; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary*; D013997:Time Factors