Abstract
Breast cancer is the most frequent cancer among women. Common sites of metastatic involvement of breast cancer, in order of frequency, are bone, lung, pleura, soft tissues, and liver. Isolated metastasis to the pancreas from a primary breast cancer is a rare occurrence. Presented herein is a case of a 55-year-old female patient postmastectomy for breast carcinoma who developed signs and symptoms of obstructive jaundice secondary to a pancreatic head mass. It was documented to be metastatic from the primary breast cancer and was managed surgically to relieve the biliary obstruction.
Highlights
INTRODUCTIONBreast cancer is the most frequent cancer among women with an estimated 1.67 million new cancer cases diagnosed in 2012 (25% of all cancers) and the second most common cancer in the world [1]
Breast cancer is the most frequent cancer among women with an estimated 1.67 million new cancer cases diagnosed in 2012 (25% of all cancers) and the second most common cancer in the world [1].Common sites of metastatic involvement of breast cancer, in order of frequency, are bone, lung, pleura, soft tissues, and liver [2]
We aim to add an additional case to the literature and present a 55-year-old female patient with breast cancer postmastectomy who later developed signs and symptoms of obstructive jaundice secondary to a pancreatic head mass
Summary
Breast cancer is the most frequent cancer among women with an estimated 1.67 million new cancer cases diagnosed in 2012 (25% of all cancers) and the second most common cancer in the world [1]. We aim to add an additional case to the literature and present a 55-year-old female patient with breast cancer postmastectomy who later developed signs and symptoms of obstructive jaundice secondary to a pancreatic head mass. A 55-year-old lady, was a known case of invasive lobular carcinoma left breast She underwent modified radical mastectomy two years ago and her final histopathology revealed stage II (pT2N0M0) invasive lobular carcinoma. A magnetic resonance imaging (MRI) with magnetic resonance cholangiopancreatography (MRCP) revealed intra and extrahepatic biliary and pancreatic ductal dilatation, with gallbladder hydrops secondary to an obstructing lesion involving the distal CBD and pancreatic duct. There was a poorly defined heterogeneously enhancing soft tissue mass involving pancreatic head and uncinate process measuring 3.5 × 3.5 × 2.0 cm, which encases and obstructs the distal CBD and pancreatic duct, and abuts the duodenal wall at D2–D3 segment.
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