unusal metastatic breast cancer presentation; report of a case

We are reporting a 43-year-old female breast cancer case with a solitary metastatic adenocarcinoma in clivus. This patient with a stage II [T1N1M0] breast cancer history has been followed for 7 years. Modified Radical Mastectomy [MRM] and 6 courses chemotherapy with CMF [Cyclophosphamide, Metotrexate, 5FU] regimen were done for her at the time of diagnosis. Also, she took tamoxifen twenty mg per day for five years. She had no evidence of disease for 6 years. About one year ago she suffered diplopia and headaches for two months. MRI and CT scan studies showed a well defined mass in her clivus. Biopsy of mass was performed and pathologic report was metastatic adenocarcinoma