A Late Recurrent Metastatic Breast Cancer Mimicking Primary Pancreatic Cancer: Case Report

Metastasis to the pancreas from malignant tumors is a rare event, representing only 1% to 2% of all pancreatic neoplasms. They occur in 2 different clinicopathological settings: as a manifestation in widespread metastatic disease or as an isolated mass in the pancreas. We report the case of a 41-yea...

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Bibliographic Details
Published in:	JIM - high impact case reports Vol. 12; p. 23247096241261511
Main Authors:	Sakhri, Saida, Zemni, Ines, Jouini, Safa, Abidi, Fethia, Boujelbene, Nadia, Ben Dhiab, Tarek
Format:	Journal Article
Language:	English
Published:	United States SAGE Publications 01-01-2024 SAGE Publishing
Subjects:	Adult Breast Neoplasms - diagnosis Breast Neoplasms - pathology Carcinoma, Lobular - diagnosis Carcinoma, Lobular - secondary Case Report Diagnosis, Differential Female Humans Neoplasm Recurrence, Local Pancreas - pathology Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - pathology Pancreatic Neoplasms - secondary Tomography, X-Ray Computed breast cancer pancreatic pathology gastroenterology metastasis lobular carcinoma
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Summary:	Metastasis to the pancreas from malignant tumors is a rare event, representing only 1% to 2% of all pancreatic neoplasms. They occur in 2 different clinicopathological settings: as a manifestation in widespread metastatic disease or as an isolated mass in the pancreas. We report the case of a 41-year-old woman who had a history of invasive lobular breast cancer treated with radical surgery, chemotherapy, and radiotherapy. After 21 years of total remission, she presented for severe lower back pain with jaundice, nausea, and loss of 9 kg in 3 months. Abdominal computed tomography demonstrated a hyper vascularized, irregular solid lesion of 2.6 cm × 2.1 cm in the head of the pancreas with discreet biliary duct dilatation and coelio-mesenteric enlarged lymph nodes measuring 2 cm. The diagnosis of pancreatic metastasis from a lobular breast carcinoma was made by percutaneous biopsy of pancreatic lesion. The multidisciplinary committee decided a palliative treatment. The patient received chemotherapy. The take home message from his case is that we should keep in mind the hypothesis of a solitary metastasis to the pancreas, when the pancreatic lesion develops in a patient who had a clinical history of previous neoplasm especially in those which is known to potentially metastasize to pancreas.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2324-7096 2324-7096
DOI:	10.1177/23247096241261511