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Case Reports in Oncological Medicine
Volume 2013 (2013), Article ID 793418, 3 pages
http://dx.doi.org/10.1155/2013/793418
Case Report

Isolated Uterine Metastasis of Invasive Ductal Carcinoma

1Department of Internal Medicine, Division of Medical Oncology, Medical Faculty, Akdeniz University, Antalya, Turkey
2Department of Internal Medicine, Division of Medical Oncology, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey
3Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey
4Department of Pathology, Medical Faculty, Akdeniz University, Antalya, Turkey

Received 13 December 2012; Accepted 20 February 2013

Academic Editors: S. B. Chichareon, C. Gennatas, J. I. Mayordomo, and C. V. Reyes

Copyright © 2013 Deniz Arslan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Most common metastasis sites of breast cancer are the lungs, bones, liver, and brain, whereas uterine involvement by metastatic breast disease is rare. Metastatic carcinoma of the uterus usually originates from other genital sites, most commonly being from the ovaries. Invasive lobular carcinoma spreads to gynecologic organs more frequently than invasive ductal carcinoma. Case Report. A 57-year-old postmenopausal woman was diagnosed with breast carcinoma 2 years ago and modified radical mastectomy was performed. Pathological examination of tumor revealed invasive ductal carcinoma, stage IIIc. She presented with abdominal pain and distension. Diagnostic workup and gynecologic examination revealed lesions that caused diffuse thickening of the uterus wall. Endometrial sampling was performed for confirmation of the diagnosis. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Breast carcinoma metastases in endometrium and myometrium were confirmed histopathologically and immunohistochemically. Conclusion. We herein report the first case of isolated uterine patient who had invasive ductal carcinoma of breast.