BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography

Ovarian cancer typically presents at advanced stage with intra-abdominal metastases. Rarely, ovarian cancer presents with distant metastases with little to no intra-abdominal disease burden. The patient was a BRCA-2 germline mutation carrier diagnosed with a Stage IVB high-grade carcinoma of the fal...

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Main Authors: Janelle N. Sobecki, Kathryn A. Dryer, Aparna M. Mahajan, Ryan J. Spencer
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578920301569
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author Janelle N. Sobecki
Kathryn A. Dryer
Aparna M. Mahajan
Ryan J. Spencer
author_facet Janelle N. Sobecki
Kathryn A. Dryer
Aparna M. Mahajan
Ryan J. Spencer
author_sort Janelle N. Sobecki
collection DOAJ
description Ovarian cancer typically presents at advanced stage with intra-abdominal metastases. Rarely, ovarian cancer presents with distant metastases with little to no intra-abdominal disease burden. The patient was a BRCA-2 germline mutation carrier diagnosed with a Stage IVB high-grade carcinoma of the fallopian tube following discovery of a right axillary breast mass on screening mammography. Pre-operative imaging was without evidence of metastatic disease in the abdomen or pelvis. She underwent surgical staging followed by adjuvant chemotherapy and maintenance poly-ADP ribose polymerase (PARP) inhibition. She is without evidence of disease 24 months following her surgical staging procedure. An isolated oligo metastasis in the axilla is a rare presentation of ovarian carcinoma. Extra-abdominal metastases can present a diagnostic challenge in ovarian cancer necessitating thorough pathologic and radiologic work-up, particularly in the absence of intra-abdominal disease.
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spelling doaj.art-a6489996b2344147ad2c56324ba323c12022-12-21T23:27:35ZengElsevierGynecologic Oncology Reports2352-57892021-02-0135100690BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammographyJanelle N. Sobecki0Kathryn A. Dryer1Aparna M. Mahajan2Ryan J. Spencer3Division of Gynecologic Oncology, University of Wisconsin-Madison School of Medicine and Public Health, United States; Corresponding author at: 600 Highland Ave. H4/676, Madison, WI 53792, United States.Department of Obstetrics & Gynecology, University of Wisconsin-Madison School of Medicine and Public Health, United StatesDepartment of Pathology and Laboratory Medicine, University of Wisconsin-Madison School of Medicine and Public Health, United StatesDivision of Gynecologic Oncology, University of Wisconsin-Madison School of Medicine and Public Health, United StatesOvarian cancer typically presents at advanced stage with intra-abdominal metastases. Rarely, ovarian cancer presents with distant metastases with little to no intra-abdominal disease burden. The patient was a BRCA-2 germline mutation carrier diagnosed with a Stage IVB high-grade carcinoma of the fallopian tube following discovery of a right axillary breast mass on screening mammography. Pre-operative imaging was without evidence of metastatic disease in the abdomen or pelvis. She underwent surgical staging followed by adjuvant chemotherapy and maintenance poly-ADP ribose polymerase (PARP) inhibition. She is without evidence of disease 24 months following her surgical staging procedure. An isolated oligo metastasis in the axilla is a rare presentation of ovarian carcinoma. Extra-abdominal metastases can present a diagnostic challenge in ovarian cancer necessitating thorough pathologic and radiologic work-up, particularly in the absence of intra-abdominal disease.http://www.sciencedirect.com/science/article/pii/S2352578920301569Ovarian cancer distant metastasisBRCA-2Breast massPARP inhibitor
spellingShingle Janelle N. Sobecki
Kathryn A. Dryer
Aparna M. Mahajan
Ryan J. Spencer
BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
Gynecologic Oncology Reports
Ovarian cancer distant metastasis
BRCA-2
Breast mass
PARP inhibitor
title BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
title_full BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
title_fullStr BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
title_full_unstemmed BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
title_short BRCA-2 (+) high-grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
title_sort brca 2 high grade serous fallopian tube cancer diagnosed as an isolated breast mass by mammography
topic Ovarian cancer distant metastasis
BRCA-2
Breast mass
PARP inhibitor
url http://www.sciencedirect.com/science/article/pii/S2352578920301569
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AT aparnammahajan brca2highgradeserousfallopiantubecancerdiagnosedasanisolatedbreastmassbymammography
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