Metastatic breast cancer to the rectum: A case report with emphasis on MRI features
Less than 1% of breast carcinomas metastasize to the gastrointestinal tract. The diagnosis is frequently not recognized especially when the history of breast carcinoma is remote. A 61-year-old female with a remote history of breast carcinoma presented with a 3-month history of change in bowel habits...
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| Veröffentlicht in: | Medicine (Baltimore) 2017-04, Vol.96 (17), p.e6739-e6739 |
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| creator | Lau, Li Ching Wee, Bernard Wang, Shi Thian, Yee Liang |
| description | Less than 1% of breast carcinomas metastasize to the gastrointestinal tract. The diagnosis is frequently not recognized especially when the history of breast carcinoma is remote.
A 61-year-old female with a remote history of breast carcinoma presented with a 3-month history of change in bowel habits. Colonoscopy showed a circumferential rectal mass with initial impression of primary rectal cancer. MRI of the rectum showed findings that are atypical for primary rectal cancer.
Deep biopsy of the rectal mass confirmed lobular breast carcinoma metastasis to the rectum.
The patient was treated with radiotherapy and hormonal therapy. She is symptomatically well 2 years after presentation and remains on hormonal therapy.
Lobular breast cancer which metastasizes to the rectum can mimic primary rectal cancer clinically. The unique MRI features described in our case when present with a concordant history of lobular breast carcinoma should alert the radiologist to the possibility of this diagnosis which has important treatment implications. |
| doi_str_mv | 10.1097/MD.0000000000006739 |
| format | Article |
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A 61-year-old female with a remote history of breast carcinoma presented with a 3-month history of change in bowel habits. Colonoscopy showed a circumferential rectal mass with initial impression of primary rectal cancer. MRI of the rectum showed findings that are atypical for primary rectal cancer.
Deep biopsy of the rectal mass confirmed lobular breast carcinoma metastasis to the rectum.
The patient was treated with radiotherapy and hormonal therapy. She is symptomatically well 2 years after presentation and remains on hormonal therapy.
Lobular breast cancer which metastasizes to the rectum can mimic primary rectal cancer clinically. The unique MRI features described in our case when present with a concordant history of lobular breast carcinoma should alert the radiologist to the possibility of this diagnosis which has important treatment implications.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000006739</identifier><identifier>PMID: 28445295</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - pathology ; Breast Neoplasms - therapy ; Carcinoma, Lobular - diagnostic imaging ; Carcinoma, Lobular - pathology ; Carcinoma, Lobular - therapy ; Clinical Case Report ; Delayed Diagnosis ; Female ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Rectal Neoplasms - diagnostic imaging ; Rectal Neoplasms - secondary ; Rectal Neoplasms - therapy ; Rectum - diagnostic imaging ; Rectum - pathology</subject><ispartof>Medicine (Baltimore), 2017-04, Vol.96 (17), p.e6739-e6739</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2854-1601e047b9d30b5a79e9dd29c30f7e59edbab9692cb4cf9bf28996f52b5e5ef63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413260/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413260/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28445295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lau, Li Ching</creatorcontrib><creatorcontrib>Wee, Bernard</creatorcontrib><creatorcontrib>Wang, Shi</creatorcontrib><creatorcontrib>Thian, Yee Liang</creatorcontrib><title>Metastatic breast cancer to the rectum: A case report with emphasis on MRI features</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Less than 1% of breast carcinomas metastasize to the gastrointestinal tract. The diagnosis is frequently not recognized especially when the history of breast carcinoma is remote.
A 61-year-old female with a remote history of breast carcinoma presented with a 3-month history of change in bowel habits. Colonoscopy showed a circumferential rectal mass with initial impression of primary rectal cancer. MRI of the rectum showed findings that are atypical for primary rectal cancer.
Deep biopsy of the rectal mass confirmed lobular breast carcinoma metastasis to the rectum.
The patient was treated with radiotherapy and hormonal therapy. She is symptomatically well 2 years after presentation and remains on hormonal therapy.
Lobular breast cancer which metastasizes to the rectum can mimic primary rectal cancer clinically. The unique MRI features described in our case when present with a concordant history of lobular breast carcinoma should alert the radiologist to the possibility of this diagnosis which has important treatment implications.</description><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - therapy</subject><subject>Carcinoma, Lobular - diagnostic imaging</subject><subject>Carcinoma, Lobular - pathology</subject><subject>Carcinoma, Lobular - therapy</subject><subject>Clinical Case Report</subject><subject>Delayed Diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Rectal Neoplasms - diagnostic imaging</subject><subject>Rectal Neoplasms - secondary</subject><subject>Rectal Neoplasms - therapy</subject><subject>Rectum - diagnostic imaging</subject><subject>Rectum - pathology</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUdtu1DAQtRCILgtfgIT8yEuKr3GGB6SqLVCpKyQuz5btTEggiRfbYcXfk7KlKszL3M6cGZ0h5Dlnp5yBebW7OGX3rDYSHpAN17KuNNTqIdkwJnRlwKgT8iTnb4xxaYR6TE5Eo5QWoDfk0w6Ly8WVIVCfcA1pcHPAREukpUeaMJRlek3P1nq-SfcxFXoYSk9x2vcuD5nGme4-XtEOXVkS5qfkUefGjM9u_ZZ8eXv5-fx9df3h3dX52XUVRKNVxWvGkSnjoZXMa2cAoW0FBMk6gxqw9c5DDSJ4FTrwnWgA6k4Lr1FjV8steXPk3S9-wjbgXJIb7T4Nk0u_bHSD_bczD739Gn9arbgUNVsJXt4SpPhjwVzsNOSA4-hmjEu2vAGxCtasmm6JPEJDijkn7O7WcGZv3mF3F_b_d6xTL-5feDfzV_8VoI6AQxwLpvx9XA6YbI9uLP0fPm1AVIJxw5RoWLVWlJK_AVY_lhU</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Lau, Li Ching</creator><creator>Wee, Bernard</creator><creator>Wang, Shi</creator><creator>Thian, Yee Liang</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170401</creationdate><title>Metastatic breast cancer to the rectum: A case report with emphasis on MRI features</title><author>Lau, Li Ching ; Wee, Bernard ; Wang, Shi ; Thian, Yee Liang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2854-1601e047b9d30b5a79e9dd29c30f7e59edbab9692cb4cf9bf28996f52b5e5ef63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - therapy</topic><topic>Carcinoma, Lobular - diagnostic imaging</topic><topic>Carcinoma, Lobular - pathology</topic><topic>Carcinoma, Lobular - therapy</topic><topic>Clinical Case Report</topic><topic>Delayed Diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Middle Aged</topic><topic>Rectal Neoplasms - diagnostic imaging</topic><topic>Rectal Neoplasms - secondary</topic><topic>Rectal Neoplasms - therapy</topic><topic>Rectum - diagnostic imaging</topic><topic>Rectum - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lau, Li Ching</creatorcontrib><creatorcontrib>Wee, Bernard</creatorcontrib><creatorcontrib>Wang, Shi</creatorcontrib><creatorcontrib>Thian, Yee Liang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lau, Li Ching</au><au>Wee, Bernard</au><au>Wang, Shi</au><au>Thian, Yee Liang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metastatic breast cancer to the rectum: A case report with emphasis on MRI features</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>96</volume><issue>17</issue><spage>e6739</spage><epage>e6739</epage><pages>e6739-e6739</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Less than 1% of breast carcinomas metastasize to the gastrointestinal tract. The diagnosis is frequently not recognized especially when the history of breast carcinoma is remote.
A 61-year-old female with a remote history of breast carcinoma presented with a 3-month history of change in bowel habits. Colonoscopy showed a circumferential rectal mass with initial impression of primary rectal cancer. MRI of the rectum showed findings that are atypical for primary rectal cancer.
Deep biopsy of the rectal mass confirmed lobular breast carcinoma metastasis to the rectum.
The patient was treated with radiotherapy and hormonal therapy. She is symptomatically well 2 years after presentation and remains on hormonal therapy.
Lobular breast cancer which metastasizes to the rectum can mimic primary rectal cancer clinically. The unique MRI features described in our case when present with a concordant history of lobular breast carcinoma should alert the radiologist to the possibility of this diagnosis which has important treatment implications.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>28445295</pmid><doi>10.1097/MD.0000000000006739</doi><oa>free_for_read</oa></addata></record> |
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| source | Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Breast Neoplasms - therapy Carcinoma, Lobular - diagnostic imaging Carcinoma, Lobular - pathology Carcinoma, Lobular - therapy Clinical Case Report Delayed Diagnosis Female Humans Magnetic Resonance Imaging Middle Aged Rectal Neoplasms - diagnostic imaging Rectal Neoplasms - secondary Rectal Neoplasms - therapy Rectum - diagnostic imaging Rectum - pathology |
| title | Metastatic breast cancer to the rectum: A case report with emphasis on MRI features |
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