title: Rectal metastasis from Breast cancer: A rare entity.
abstract: BACKGROUND
  Breast cancer metastases occurs in around 50% of all presentation. It is the second most common type of cancer to metastasise to the GI tract but this only occurs in less than 1% of cases.
  
  
  METHODS
  We report a case that underwent treatment for invasive lobular cancer (ILC) of the breast and 5 years later was found to have rectal and peritoneal metastasis. She is currently receiving palliative management including chemotherapy in the form of weekly Paclitaxel (Taxol(®)) and stenting to relieve obstruction.
  
  
  CONCLUSIONS
  There should be high clinical suspicion of bowel metastasis in patients presenting with positive faecal occult blood with or without bowel symptoms even if the incidence is less <1% of metastases, particularly in cases where the initial breast tumour was large, with positive axillary nodes.
authors.affiliation: Surgical Department, Queen Elizabeth Hospital, Gateshead, NE9 6SX, United Kingdom. Electronic address: isao.nce@gmail.com.
authors.forename: Cho Ee
authors.initials: CE
authors.lastname: Ng
authors.affiliation: Surgical Department, Queen Elizabeth Hospital, Gateshead, NE9 6SX, United Kingdom. Electronic address: luciejwright@doctors.org.uk.
authors.forename: Lucie
authors.initials: L
authors.lastname: Wright
authors.affiliation: Surgical Department, Queen Elizabeth Hospital, Gateshead, NE9 6SX, United Kingdom. Electronic address: andrewpieri2@gmail.com.
authors.forename: Andrew
authors.initials: A
authors.lastname: Pieri
authors.affiliation: Surgical Department, Queen Elizabeth Hospital, Gateshead, NE9 6SX, United Kingdom. Electronic address: aybfxuk@googlemail.com.
authors.forename: Anas
authors.initials: A
authors.lastname: Belhasan
authors.affiliation: Surgical Department, Queen Elizabeth Hospital, Gateshead, NE9 6SX, United Kingdom. Electronic address: tani.fasih@ghnt.nhs.uk.
authors.forename: Tarannum
authors.initials: T
authors.lastname: Fasih
keywords: Breast cancer; Invasive lobular cancer; Rectal metastases