ABSTRACT
The scarcely reported hematogenous rectal metastases from breast cancer are rare and the diagnosis is challenging. They may be recognized before, concomitantly with, or after the diagnosis of the primary site of breast cancer. Invasive lobular cancer is the histological type more frequently described, and most of the affected patients have a late diagnosis. Tardive recognition is associated with poor outcomes, despite the management options. Endoscopic and imaging evaluations, mainly magnetic resonance studies, are useful, but the anatomopathological findings are mandatory to confirm the diagnostic hypothesis. We describe a middle-aged woman with advanced rectal metastases of unsuspected breast cancer found during the evaluation of manifestations due to intestinal implants. One must highlight long-term follow-up of breast cancers even if seeming in remission. The aim of this report is to enhance the suspicion index of primary health care workers.
Subject(s)
Breast Neoplasms/pathology , Carcinoma, Lobular/secondary , Rectal Neoplasms/secondary , Adult , Breast Neoplasms/diagnostic imaging , Carcinoma, Lobular/diagnostic imaging , Carcinoma, Lobular/pathology , Fatal Outcome , Female , Humans , Magnetic Resonance Imaging , Rectal Neoplasms/diagnostic imaging , Rectal Neoplasms/pathologyABSTRACT
Breast benign tumors, intraductal papilloma and fibroadenomas are common conditions in women; however, they are very rare in males. In this study, we report the case of a male patient, 75 years old, presenting with complaint of bilateral gynecomastia and palpable retroareolar mass in the left breast. The patient was submitted to imaging tests and core biopsy, and the hypothesis of intraductal papilloma was confirmed upon anatomopathological study. The mastology team opted for excision of the lesion and correction of gynecomastia.
Tumores benignos da mama, papiloma intraductal e fibroadenomas são condições comuns em mulheres, mas muito raras em homens. Neste estudo, relatamos o caso de um paciente do sexo masculino, com 75 anos de idade, cuja queixa era de ginecomastia bilateral e massa retroareolar palpável na mama esquerda. O paciente foi submetido a exames de imagem e core-biopsy, e a hipótese de papiloma intraductal foi confirmada após estudo anatomopatológico. A equipe de mastologia optou pela excisão da lesão e correção da ginecomastia.
