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Clinical vignette
Published online: 2022-12-02
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Breast injury as a manifestation of distant-metastatic ovarian cancer. A case report

Pawel Topolewski1, Marcin Sniadecki1, Marcin Liro1, Pawel Guzik2, Dariusz Wydra1
DOI: 10.5603/GP.a2022.0149
·
Pubmed: 36477781
Affiliations
  1. Chair of Gynecology, Obstetrics and Neonatology; Department of Gynecology and Obstetrics, Medical Univerosty of Gdansk, Gdansk, Poland
  2. Clinical Department of Gynecology and Obstetrics, City Hospital, Rzeszow, Poland

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Ahead of Print
CLINICAL VIGNETTES
Published online: 2022-12-02

Abstract

A 58-year-old female ovarian cancer patient was admitted to a gynecological surgery unit from a gynecological chemotherapy unit because of right lower limb vein thrombosis. During hospitalization the patient reported a major breast enlargement occurring within a few days and mentioned a breast injury occurring a month earlier. Ultrasound performed by gyne-sonologist as well as mammography and magnetic resonance imaging examinations of the left breast revealed suspected lesion. Core-needle biopsy was performed. The histopathology examination confirmed ovarian cancer to breast metastasis. Patient died due to lymphangitis carcinomatosa as the cause of respiratory failure. The case illustrates the possible sequence of ovarian cancer development ending with breast metastasis that occurs in 0.03–0.6% of all breast cancer patients.

Abstract

A 58-year-old female ovarian cancer patient was admitted to a gynecological surgery unit from a gynecological chemotherapy unit because of right lower limb vein thrombosis. During hospitalization the patient reported a major breast enlargement occurring within a few days and mentioned a breast injury occurring a month earlier. Ultrasound performed by gyne-sonologist as well as mammography and magnetic resonance imaging examinations of the left breast revealed suspected lesion. Core-needle biopsy was performed. The histopathology examination confirmed ovarian cancer to breast metastasis. Patient died due to lymphangitis carcinomatosa as the cause of respiratory failure. The case illustrates the possible sequence of ovarian cancer development ending with breast metastasis that occurs in 0.03–0.6% of all breast cancer patients.

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Keywords

ovarian cancer; breast cancer; lymphangitis carcinomatosa; distant metastasis; breast ultrasound

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About this article
Title

Breast injury as a manifestation of distant-metastatic ovarian cancer. A case report

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Clinical vignette

Published online

2022-12-02

Page views

125

Article views/downloads

79

DOI

10.5603/GP.a2022.0149

Pubmed

36477781

Keywords

ovarian cancer
breast cancer
lymphangitis carcinomatosa
distant metastasis
breast ultrasound

Authors

Pawel Topolewski
Marcin Sniadecki
Marcin Liro
Pawel Guzik
Dariusz Wydra

References (3)
  1. Deng K, Yang C, Tan Q, et al. Sites of distant metastases and overall survival in ovarian cancer: A study of 1481 patients. Gynecol Oncol. 2018; 150(3): 460–465.
  2. Longo R, Bastien C, Campitiello M, et al. Breast and axillary lymph node metastasis from ovarian cancer: a case report. Am J Case Rep. 2020; 21: e925089.
  3. Piekarski J, Jeziorski A. Przerzuty nowotworów do piersi. In: Nowecki ZI, Jeziorski A. ed. Chirurgiczne leczenie zmian nowotworowych piersi Konsensus Polskiego Towarzystwa Chirurgii Onkologicznej. Via Medica, Gdańsk 2016: 143–144.

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