Abstract

BackgroundMetastatic breast carcinoids are rare neoplasms. They can be mistaken for primary breast carcinoma both clinically and radiologically, even with known history of carcinoid tumor elsewhere in the body.Case presentationWe report a case of unilateral breast metastasis from carcinoid tumor of the small intestine in a 52-year-old woman who was successfully treated by lumpectomy and radiation therapy. An extensive review of the literature reveals only a few cases of metastatic carcinoid to the breast from small intestinal primaries.ConclusionClinical suspicion for metastasis should be high in a patient with breast mass and history of known carcinoid elsewhere in the body. Lumpectomy alone may be effective in these patients. Mastectomy and especially axillary dissection could be avoided. Their histological appearance may mimic ductal adenocarcinoma of the breast. However, the distinction is important due to differences in management and prognosis.

Highlights

  • Clinical suspicion for metastasis should be high in a patient with breast mass and history of known carcinoid elsewhere in the body

  • Lumpectomy alone may be effective in these patients

  • This may potentially be detrimental for the patient, especially if the primary surgery is a mastectomy with axillary lymph node dissection

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Summary

Conclusion

Clinical suspicion for metastasis should be high in a patient with breast mass and history of known carcinoid elsewhere in the body. Lumpectomy alone may be effective in these patients. Mastectomy and especially axillary dissection could be avoided. Their histological appearance may mimic ductal adenocarcinoma of the breast. The distinction is important due to differences in management and prognosis

Background
Discussion
Findings
Shetty MR
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