Rectal metastasis from breast cancer: an interval of 17 years

Amin, Aliasger; Reddy, A; Jha, Madan K.; Prasad, Kolanu

doi:10.1136/bcr.01.2011.3683

Cited by 15 publications

(16 citation statements)

References 6 publications

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“…Breast carcinoma usually metastasises to lymph nodes, lung, bone, liver or brain, while GI involvement, especially colorectal metastases, is rare 1 4 5. Symptoms of colorectal metastases are usually non-specific as in the current case, and clinical presentation is diverse 1–3…”

Section: Discussionmentioning

confidence: 90%

“…In most reported cases, colorectal metastases are part of widespread metastatic disease, and systemic treatment by chemotherapy and/or endocrine treatment is usually employed 1 4. However, as shown in some articles concerning a recent trend in the management of colorectal metastasis,10 11 patients with metastatic disease limited to organ-specific sites may have an opportunity to undergo potentially curative surgical resection at the time of diagnosis or following conversion therapy with the appropriate integration of chemotherapy, and thus can be cured or at least prolong the survival with valuable quality of life, like the current case.…”

Section: Discussionmentioning

confidence: 99%

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Successful laparoscopic investigation and resection of solitary colonic metastasis from breast cancer (with video)

Maekawa

Fujikawa

2012

BMJ Case Reports

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Metastasis to gastrointestinal tract from breast cancer is an uncommon situation. We report a case of a 52-year-old woman who had a mastectomy for solid-tubular carcinoma of the breast 16 years ago and bilateral salpingo-oophorectomy for metastatic ovarian tumours 5 years ago, was incidentally found to have colonic metastatic tumour detected by positron emission tomography/CT (PET/CT) during follow-up. After identifying a definite location of the tumour in the ascending colon under laparoscopic investigation, laparoscopy-assisted partial colectomy was successfully performed. Histopathology of the resected specimen showed it to be metastasis from solid-tubular carcinoma of the breast. We should be aware that breast cancer can metastasise to the gastrointestinal tract even after the long interval from initial therapy. An index of high suspicion and detailed assessment is mandatory to make a correct diagnosis and following less invasive surgical treatment.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Successful laparoscopic investigation and resection of solitary colonic metastasis from breast cancer (with video)

Maekawa

Fujikawa

2012

BMJ Case Reports

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“…The other problem is the unusual long and unpredictable time interval between primary breast carcinoma and GI metastases [12]. The median interval between breast cancer and GI metastases is 6 or 7 years [8].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical resection should be reserved for palliation of intestinal obstruction or bleeding. Abdominal obstruction due to stenosis should be corrected with surgery [12]. The median survival after diagnosis of GI metastasis is 1 year [2].…”

Section: Discussionmentioning

confidence: 99%

Can Metastatic Breast Cancer Spread to the Colon?

Tahir¹,

Sohail²,

Singh³

2017

J Gastrointest Cancer Stromal Tumor

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“…Metastases of breast carcinoma are commonly found in the bone, liver, lungs and the brain. Gastrointestinal (GI) involvement is rare, with only few cases of such metastases reported in the literature [ 1 ]. Invasive lobular carcinoma (ILC) accounts for 5–10% of invasive breast carcinomas.…”

Section: Introductionmentioning

confidence: 99%

Metastases of lobular breast carcinoma in the terminal ileum and ileocaecal valve

Abdalla

Macneal

Borg

2015

Journal of Surgical Case Reports

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Gastrointestinal (GI) metastases from primary breast carcinoma are rare but more common in invasive lobular carcinoma than invasive ductal carcinoma. The symptoms may be non-specific and the presentation can occur many years after the initial primary breast carcinoma. Radiological and endoscopic findings can be difficult to distinguish from inflammatory bowel disease and primary carcinoma of the GI tract. Histological and immunohistopathology assessment will usually confirm the diagnosis of metastatic breast carcinoma. We report the first case of lobular breast carcinoma metastasizing to the terminal ileum and ileocaecal valve 19 years following treatment for breast cancer in an 82-year-old woman. Staging investigations revealed synchronous metastases in bones and the pleura. A high index of suspicion and awareness of the potential long interval in the presentation of metastatic breast cancer help in making an accurate diagnosis and rapid clinical management.

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Rectal metastasis from breast cancer: an interval of 17 years

Cited by 15 publications

References 6 publications

Successful laparoscopic investigation and resection of solitary colonic metastasis from breast cancer (with video)

Successful laparoscopic investigation and resection of solitary colonic metastasis from breast cancer (with video)

Can Metastatic Breast Cancer Spread to the Colon?

Metastases of lobular breast carcinoma in the terminal ileum and ileocaecal valve

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