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Shah et al. J Cancer Metastasis Treat 2016;2:391-5 Journal of
DOI: 10.20517/2394-4722.2016.22
Cancer Metastasis and Treatment

www.jcmtjournal.com
Case Report Open Access

Isolated breast metastasis mimicking as

second primary cancer - a case report

Manjari Shah , Umang Mithal , Sandeep Agarwal , Sweety Gupta , Disha Tiwari , Shashank Srinivasan ,
3
1
1
2
1
1
Asheesh Jain , Ritu Chandra 1
4
1 Department of Radiation Oncology, Max Hospital, Vaishali 201012, Delhi NCR, India.
2 Department of Surgical Oncology, Max Hospital, Vaishali 201012, Delhi NCR, India.
3 Department of Radiation oncology, King George Medical University, Lucknow 226003, Uttar Pradesh, India.
4 Consulting Histopathologist, Asheesh Pathology Lab, Uttar Pradesh 250002, India.
Correspondence to: Dr. Manjari Shah, Department of Radiation Oncology, Max Hospital, Vaishali 201012, Ghaziabad, Uttar Pradesh, India.
E-mail: manjarishah29@gmail.com
How to cite this article: Shah M, Mithal U, Agarwal S, Gupta S, Tiwari D, Srinivasan S, Jain A, Chandra R. Isolated breast metastasis mimicking
as second primary cancer - a case report. J Cancer Metastasis Treat 2016;2:391-5.
Dr. Manjari Shah works with Max Super Speciality Hospital, Vaishali, Delhi NCR, India. She is a lifetime member
of Association of Radiation Oncology of India (AROI). She is the Founder Member and Health Forum Co-
ordinator at Teachgirls, an organisation which works for empowerment of underprivileged young girls. She has
been active participants at various Oncology Conferences and presented posters in National and International
conferences. She has won the Best Poster award in ACOS, 2016 (12th International Conference of the Asian
Clinical Oncology Society, New Delhi). She sees herself as a learner and is always enthusiastic towards
researching and writing.

ABSTRACT
Article history: Primary carcinoma of breast is common but breast is a rare site of metastasis and metastases
Received: 03-05-2016 from extramammary sites are even rarer. Metastasis to breast from rectal carcinoma is very
Accepted: 23-07-2016 unusual and till now 19 cases of breast secondaries from colorectal carcinoma have been
Published: 30-09-2016 reported in literature which include 14 cases where the primary site was colon and remaining
5 were from the rectum. Here the authors report a case of adenocarcinoma anorectum who
Key words: had completed treatment and after 4 months developed a lump in her left breast which was
Isolated breast metastasis, metastatic. Metastatic lesions of breast are usually part of a widely disseminated disease
second primary carcinoma of but this case presented as a solitary breast metastasis which mimicked as second primary
breast, cancer of the breast.
carcinoma anorectum

INTRODUCTION metastases are seen, followed by extramammary
sites, viz. leukemia, melanoma, lymphoma, ovary,
Breast is an unusual site of metastasis. Contralateral lung and stomach cancer. [2,3] Breast metastasis
[1]
breast is the most common site from which breast from extra mammary tumor is rare and accounts for
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