title: Breast Lumps That Do Not Arise from the Breast.
abstract: An elderly lady presented to the surgical outpatient with a lump in her breast. On examination, there was a well-defined large lump measuring about 12 × 10 cm, hard in consistency and fixed to the chest wall, the skin appeared to be free, and the nipple-areola complex was normal. A provisional diagnosis of phylloides tumor was made, but digital rectal examination revealed a circumferential rectal growth. To our surprise, biopsy of the rectal growth and the chest wall mass revealed similar adenocarcinoma cells. This image illustrates the possibility that a common clinical entity such as a breast lump can sometimes surprise even the most seasoned clinicians.
authors.affiliation: Department of General Surgery, Karnataka Institute of Medical Sciences, HUBLI, India.
authors.forename: Srinivas
authors.initials: S
authors.lastname: Kodaganur
authors.affiliation: Department of General Surgery, Karnataka Institute of Medical Sciences, HUBLI, India.
authors.forename: Priyadarshini
authors.initials: P
authors.lastname: C A
authors.affiliation: Department of General Surgery, Karnataka Institute of Medical Sciences, HUBLI, India.
authors.forename: Ishwar
authors.initials: I
authors.lastname: R Hosamani
keywords: Breast; Breast lumps; Metastasis