Abstract

Metastatic breast carcinoma is rarely seen in clinical practice. It has been reported that lymphoma-leukemia, melanoma and sarcomas can metastasize to the breast. Bilateral metastases to the breast are rare and commonly have been seen to originate from ovarian carcinoma. Adenocarcinoma of rectum metastasizing to breast is an extremely rare clinico-pathological situation. We report a 28-year-old female who presented with bilateral breast metastasis 9 months after abdomino-perineal resection and total meso-rectal excision for a locally advanced mucinous adenocarcinoma of the rectum. A few case reports of a mucinous adenocarcinoma of rectum presenting with bilateral breast metastasis have been seen in the world literature and we hereby report this case who till now is the youngest patient reported.

Highlights

  • Metastatic lesions to the breast are rare (1)

  • We hereby report bilateral breast metastasis in a 28-year-old female who had been operated 9 months back for mucinous adenocarcinoma of the rectum. This is a rare case of bilateral breast metastasis from adenocarcinoma of the rectum and the youngest case reported so far

  • Metastases to the breast are relatively uncommon but virtually any malignancy may metastasize to the breast

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Summary

INTRODUCTION

Metastatic lesions to the breast are rare (1). Leukemias, melanomas and sarcomas are the commonest malignancies that can metastasize to breast (2). Metastasis to the breast from rectal carcinoma is very rare, bilateral breast metastasis being an extremely rare clinicopathological situation (3,4). A few cases of bilateral breast metastasis in the literature have been found to arise from the ovary (2). We hereby report bilateral breast metastasis in a 28-year-old female who had been operated 9 months back for mucinous adenocarcinoma of the rectum. This is a rare case of bilateral breast metastasis from adenocarcinoma of the rectum and the youngest case reported so far. An accurate diagnosis of breast metastasis is important because the treatment and outcome of primary and metastasis to the breast from gastrointestinal primaries is different

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