Invasive Lobular Breast Cancer Presenting an Unusual Metastatic Pattern in the Form of Peritoneal and Rectal Metastases: A Case Report.
10.4048/jbc.2011.14.3.247
- Author:
Djordjije SARANOVIC
1
;
Jelena Djokic KOVAC
;
Srbislav KNEZEVIC
;
Snezana SUSNJAR
;
Aleksandra Djuric STEFANOVIC
;
Dragana Sobic SARANOVIC
;
Vera ARTIKO
;
Vladimir OBRADOVIC
;
Dragan MASULOVIC
;
Marjan MICEV
;
Predrag PESKO
Author Information
1. Department of Radiology and Magnetic Resonance Imaging, University Clinical Center of Serbia, Belgrade, School of Medicine, University of Belgrade, Belgrade, Serbia. jelenadjokic2003@yahoo.co.uk
- Publication Type:Case Report
- Keywords:
Breast;
Lobular carcinoma;
Neoplasm metastasis;
Peritoneum;
Rectum
- MeSH:
Breast;
Breast Neoplasms;
Carcinoma;
Carcinoma, Lobular;
Estrogens;
Female;
Humans;
Intestine, Small;
Middle Aged;
Neoplasm Metastasis;
Peritoneum;
Receptors, Progesterone;
Rectum;
Recurrence;
Stomach
- From:Journal of Breast Cancer
2011;14(3):247-250
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastrointestinal metastases from invasive lobular breast cancer are uncommon with the stomach and small intestines being the most common metastatic sites. Peritoneal and rectal metastases are very rare and only rarely occur as the first manifestation of disease. We herein report the case of a 47-year-old woman who presented with abdominal carcinomatosis as a first sign of invasive lobular breast carcinoma (ILC). Identifying the most important immunohistochemical markers for ILC: gross cystic disease fluid protein 15, estrogen and progesterone receptors enabled a correct diagnosis. After a six year disease-free period, relapse occurred with severe obstruction due to rectal metastasis from lobular breast carcinoma. Since there was no widespread metastatic disease, surgery with concomitant hormonal therapy was performed.