Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015:13:103-5.
doi: 10.1016/j.ijscr.2015.06.023. Epub 2015 Jul 7.

Rectal metastasis from Breast cancer: A rare entity

Cho Ee Ng  1 , Lucie Wright  2 , Andrew Pieri  3 , Anas Belhasan  4 , Tarannum Fasih  5
Affiliations

Rectal metastasis from Breast cancer: A rare entity

Cho Ee Ng et al. Int J Surg Case Rep. 2015.

Abstract

Introduction: Breast cancer metastases occurs in around 50% of all presentation. It is the second most common type of cancer to metastasise to the GI tract but this only occurs in less than 1% of cases.

Presentation of case: We report a case that underwent treatment for invasive lobular cancer (ILC) of the breast and 5 years later was found to have rectal and peritoneal metastasis. She is currently receiving palliative management including chemotherapy in the form of weekly Paclitaxel (Taxol(®)) and stenting to relieve obstruction.

Conclusion: There should be high clinical suspicion of bowel metastasis in patients presenting with positive faecal occult blood with or without bowel symptoms even if the incidence is less <1% of metastases, particularly in cases where the initial breast tumour was large, with positive axillary nodes.

Keywords: Breast cancer; Invasive lobular cancer; Rectal metastases.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
H&E section the lamina propria is expanded by small malignant cells.
Fig. 2
Fig. 2
Immunohistochemistry show positive oestrogen receptor.
Fig. 3
Fig. 3
Pre-procedure demonstrating 2 strictures.
Fig. 4
Fig. 4
Successful dilation and deployment of stents.
Fig. 5
Fig. 5
Post-procedure showing stent position and contrast through to rectum.
See this image and copyright information in PMC

References

    1. Amin A.A., Reddy A., Jha M., Prasad K. Rectal metastasis from breast cancer: an interval of 17 years. Case Rep. 2011 bcr0120113683–bcr0120113683. - PMC - PubMed
    1. Abdalla S., Macneal P., Borg C.-M. Metastases of lobular breast carcinoma in the terminal ileum and ileocaecal valve. J. Surg. Case Rep. 2015;2015:rjv028. - PMC - PubMed
    1. Bognel C., Lasser P., Zimmermann P. Gastric metastases Apropos of 17 cases. Ann. Chir. 1992;46:436–441. - PubMed
    1. Mistrangelo M., Cassoni P., Mistrangelo M. Obstructive colon metastases from lobular breast cancer: report of a case and review of the literature. Tumori. 2011;97:800–804. - PubMed
    1. Bamias A., Baltayiannis G., Kamina S. Rectal metastases from lobular carcinoma of the breast: report of a case and literature review. Ann. Oncol. 2001;12:715–718. - PubMed