Solitary pancreatic metastasis from breast cancer: case report and review of literature
Apodaca-Rueda, Márcio; Department of SurgeryChaim, Fábio Henrique Mendonça; Department of SurgeryGarcia, Milena da Silva; Department of Internal MedicineSaito, Helena Paes de Almeida de; Department of SurgeryGestic, Martinho Antonio; Department of SurgeryUtrini, Murillo Pimentel; Department of SurgeryCallejas-Neto, Francisco; Department of SurgeryChaim, Elinton Adami; Department of SurgeryCazzo, Everton.
São Paulo med. j
; 137(2): 201-205, Mar.-Apr. 2019. tab, graf
Artículo
en Inglés
| LILACS | ID: biblio-1014635
ABSTRACT CONTEXT Pancreatic metastases from primary malignant tumors at other sites are rare, constituting about 2% of the neoplasms that affect the pancreas. Pancreatic metastasis from breast cancer is extremely rare and difficult to diagnose, because its clinical and radiological presentation is similar to that of a primary pancreatic tumor. CASE REPORT A 64-year-old female developed a lesion in the pancreatic tail 24 months after neoadjuvant therapy, surgery and adjuvant radiation therapy for right-side breast cancer (ductal carcinoma). She underwent distal pancreatectomy with splenectomy and left adrenalectomy, and presented an uneventful outcome. The immunohistochemical analysis on the surgical specimen suggested that the lesion originated from the breast.
CONCLUSION:
In cases of pancreatic lesions detected in patients with a previous history of breast neoplasm, the possibility of pancreatic metastasis should be carefully considered.
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