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Case Reports in Medicine
Volume 2010 (2010), Article ID 615923, 3 pages
http://dx.doi.org/10.1155/2010/615923
Case Report

Isolated Gastrointestinal Metastasis of Breast Carcinoma: A Case Report

1Department of Surgery, Crosshouse Hospital, Kilmarnock, Scotland KA2 0BE, UK
2Unity Hospital, 1555 Long Pond Road, Rochester, NY 14626, USA

Received 15 March 2010; Accepted 27 April 2010

Academic Editor: Sarkis Meterissian

Copyright © 2010 M. A. Titi 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

Purpose. Gastrointestinal tract is one of the rare locations for breast cancer metastasis. This paper shows such metastasis may occur even in the absence of breast metastasis in other more common locations. Case Report. A 64-year old female was admitted to the hospital with abdominal discomfort and diarrhea. She had breast carcinoma treated 7 years previously with normal follow-up since. Colonoscopy showed hepatic flexure thickening that was confirmed to be breast metastasis. Staging investigations showed upper and lower gastrointestinal tract metastasis with negative findings elsewhere. Conclusion. Although more common causes for gastrointestinal symptoms should be excluded, however, a high index of suspicion of metastatic breast cancer is needed when such patients develop gastrointestinal symptoms.