Metastasis to the pancreas and stomach from a breast cancer primary: a case report

A 60-year-old female with an unknown family history initially presented with signs and symptoms concerning for gastrointestinal cancer. Regular breast cancer screening and subsequent work-up around this time demonstrated the presence of T2N1 stage II triple positive ductal adenocarcinoma of the left...

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Main Authors: Jason Kliiger, Mayer Gorbaty
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2017-10-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2017.1369379
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author Jason Kliiger
Mayer Gorbaty
author_facet Jason Kliiger
Mayer Gorbaty
author_sort Jason Kliiger
collection DOAJ
description A 60-year-old female with an unknown family history initially presented with signs and symptoms concerning for gastrointestinal cancer. Regular breast cancer screening and subsequent work-up around this time demonstrated the presence of T2N1 stage II triple positive ductal adenocarcinoma of the left breast. Follow-up imaging for her gastrointestinal symptoms demonstrated a 3.5 cm solitary mass in the pancreas and diffuse thickening of the stomach wall. Biopsies of the gastrointestinal lesions were identified as metastatic foci of the breast cancer primary. Breast cancer metastases to the stomach and to the pancreas are both very rare events. Of the breast cancer primaries that do metastasize to the gastrointestinal system, it is unusual for the primary to be ductal adenocarcinoma. The rapid succession of diagnosing the primary source of breast cancer simultaneously with its metastases is also unusual. Timely identification and appropriate management of these rare metastases was made possible due to routine breast cancer screening.
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spelling doaj.art-7365a9b786d84465abfc595a530847252023-01-02T02:30:36ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662017-10-017423423710.1080/20009666.2017.13693791369379Metastasis to the pancreas and stomach from a breast cancer primary: a case reportJason Kliiger0Mayer Gorbaty1Saba University School of MedicineNorthwest HospitalA 60-year-old female with an unknown family history initially presented with signs and symptoms concerning for gastrointestinal cancer. Regular breast cancer screening and subsequent work-up around this time demonstrated the presence of T2N1 stage II triple positive ductal adenocarcinoma of the left breast. Follow-up imaging for her gastrointestinal symptoms demonstrated a 3.5 cm solitary mass in the pancreas and diffuse thickening of the stomach wall. Biopsies of the gastrointestinal lesions were identified as metastatic foci of the breast cancer primary. Breast cancer metastases to the stomach and to the pancreas are both very rare events. Of the breast cancer primaries that do metastasize to the gastrointestinal system, it is unusual for the primary to be ductal adenocarcinoma. The rapid succession of diagnosing the primary source of breast cancer simultaneously with its metastases is also unusual. Timely identification and appropriate management of these rare metastases was made possible due to routine breast cancer screening.http://dx.doi.org/10.1080/20009666.2017.1369379Breast cancermetastasiscancer screeninginvasive ductal carcinomagastrointestinal cancer
spellingShingle Jason Kliiger
Mayer Gorbaty
Metastasis to the pancreas and stomach from a breast cancer primary: a case report
Journal of Community Hospital Internal Medicine Perspectives
Breast cancer
metastasis
cancer screening
invasive ductal carcinoma
gastrointestinal cancer
title Metastasis to the pancreas and stomach from a breast cancer primary: a case report
title_full Metastasis to the pancreas and stomach from a breast cancer primary: a case report
title_fullStr Metastasis to the pancreas and stomach from a breast cancer primary: a case report
title_full_unstemmed Metastasis to the pancreas and stomach from a breast cancer primary: a case report
title_short Metastasis to the pancreas and stomach from a breast cancer primary: a case report
title_sort metastasis to the pancreas and stomach from a breast cancer primary a case report
topic Breast cancer
metastasis
cancer screening
invasive ductal carcinoma
gastrointestinal cancer
url http://dx.doi.org/10.1080/20009666.2017.1369379
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AT mayergorbaty metastasistothepancreasandstomachfromabreastcancerprimaryacasereport