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Rectal metastasis from Breast cancer: A rare entity
Cho Ee Ng1, Lucie Wright1, Andrew Pieri1
1Surgical Department, Queen Elizabeth Hospital, Gateshead, NE9 6SX, United Kingdom.
International Journal of Surgery Case Reports
|July 20, 2015
Summary
Metastatic breast cancer can spread to the gastrointestinal tract, though rarely. This case highlights the importance of suspecting bowel metastases in patients with invasive lobular cancer (ILC) presenting with gastrointestinal symptoms.
Area of Science:
- Oncology
- Gastroenterology
Background:
- Breast cancer metastasizes in approximately 50% of cases.
- Gastrointestinal (GI) tract metastasis from breast cancer is rare, occurring in less than 1% of cases.
Purpose of the Study:
- To report a case of invasive lobular cancer (ILC) with late rectal and peritoneal metastasis.
- To emphasize the importance of considering GI metastasis in ILC patients.
Main Methods:
- Case report of a patient treated for invasive lobular cancer (ILC).
- Patient presented with rectal and peritoneal metastasis 5 years after initial breast cancer treatment.
- Palliative management included chemotherapy (weekly Paclitaxel) and stenting for obstruction.
Main Results:
- The patient developed rectal and peritoneal metastasis 5 years post-treatment for ILC.
- Current management involves palliative chemotherapy and stenting to alleviate obstruction.
Conclusions:
- High clinical suspicion for bowel metastasis is crucial in patients with a history of breast cancer, especially ILC.
- Positive fecal occult blood and/or bowel symptoms warrant investigation for metastasis, even with low incidence.
- Consider metastasis in patients with large primary tumors and positive axillary nodes.
