Introduction Male breast cancer has a low incidence, and its metastases are considered even rarer and a sign of seriousness for the patient. Breast metastases are difficult to diagnose even in female patients, with few cases of gastric metastasis described in the current literature. Presentation of case Male patient, 54 years old, obese, diagnosed with breast cancer for 8 years, underwent 5 years of cancer follow-up. After this period, he began to experience epigastric pain and weight loss, among other symptoms. Endoscopy was performed, showing rounded elevated lesions with central depression. After anatomopathological and biochemical tests, a diagnosis of differentiated carcinoma as a metastasis of breast origin was concluded. Discussion MBC is rare when compared to the incidence in females. Its risk factors differ between genders, and due to its rarity, there are few studies in the male population. This fact makes the evaluation of metastases more difficult. Gastric metastasis has a very low incidence even in women, approximately 8.9% of all breast cancer metastasis's locations. Other pathologies can mimic GM, always associating anatomopathological and biochemical tests. Oncological follow-up must always be carried out, and the possibility of screening must be evaluated. Conclusion Despite the rare incidence and little information in the literature, the association between MBC and GM should be considered. Currently, there is no guidance for conducting systematic screenings and treatment is usually palliative due to the severity of the disease.

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Choledocal cysts are cystic dilations that can occur in a single or multiple form in the biliary tree. Cysts can be congenital or acquired and are associated with numerous anatomical abnormalities. The presence of pain in the upper right quadrant of the abdomen, jaundice and palpable abdominal mass form the classic triad that is present in 15% to 45% of patients. We report the case of a 19-year-old woman patient, who she was admitted with abdominal pain in the right hypochondrium, nausea and vomiting, which evolved into  jaundice. When seeking medical care, a large liver cyst and cholelithiasis. Imaging exams revealed liver cyst in segments IV-B,V and VI, lithiasis and biliary polyp.

Insulinoma é um tumor endócrino com origem nas Células Beta-pancreáticas, marcado pela produção excessiva de Insulina, que quando adequadamente identificada e submetida a tratamento correto, apresenta elevado índice de cura, contribuindo para exclusão sintomática do paciente. Devido ao seu pequeno tamanho, sua localização nem sempre é delimitada com facilidade, sobretudo em casos raros de "Insulinoma Oculto'', marcados por história clínica característica, mas sem a presença marcável em Exames de Imagem convencionais.

Cavernous hemangiomas are benign tumors that present a low risk of bleeding when considering their high prevalence. They are frequent in the liver, with a frequency of 5 to 20% in the population. They present an increased risk of rupture when larger than 10 cm and with central necrosis. It is a most common primary liver lesion, and its diagnosis can be made incidentally during nonspecific evaluation of abdominal complaints. It can be diagnosed in all age groups, most frequently in women around 30-50 years of age, and rarely in children over three years of age. About 90% of these lesions are diagnosed in the first six months of life.