open access

Vol 10, No 3 (2014)
Case report
Published online: 2014-07-30
Get Citation

An atypical course of breast cancer

Rafał Czyżykowski, Joanna Połowinczak-Przybyłek, Grażyna Pasz-Walczak, Piotr Potemski
Onkol. Prak. Klin 2014;10(3):164-168.

open access

Vol 10, No 3 (2014)
CASE REPORTS
Published online: 2014-07-30

Abstract

A 46-year old woman presented with a tumor in the left axilla. She had a resection of a breast tumor and an axillary lymph node dissection. The tumor of the breast was benign and in lymph node there was a metastasis of adenocarcinoma. In PET-CT there was a metabolically-active lesion nearby Spence’s tail area of the left breast. The woman had another resection of breast tumor and recurrent tumor in axilla. Breast tumor was benign but in lymph nodes metastases of adenocarcinoma probably from lung were found. In CT there were a single metastatic focus in a left lung and enlarged mediastinal lymph nodes. The diagnosis of non-small cell lung cancer stage IV was established. The patient received 4 cycles of cisplatin and gemcitabine with disease stabilization. Four months later she had PET-CT which showed a metabolically-active lesion in an axillary lymph node. The patient had radiotherapy on the area of armpit. Four months later she noticed a tumor of a left breast and underwent mastectomy. Microscopic sections were compared and a histopathologist indicated breast as a primary origin of lymph nodes metastases. The clinical diagnosis was changed to breast cancer metastatic to axillary lymph nodes and probably with single lung metastasis (metabolically-inactive) and suspected mediastinal lymph nodes. She received 4 cycles of doxorubicin with cyclophosphamide discontinued because of intolerance. Eight months later she had a CT scan which revealed a tumor of the hilus and enlarged mediastinal lymph nodes. Pathological examination confirmed metastasis from breast cancer and second-line chemotherapy was started.

Abstract

A 46-year old woman presented with a tumor in the left axilla. She had a resection of a breast tumor and an axillary lymph node dissection. The tumor of the breast was benign and in lymph node there was a metastasis of adenocarcinoma. In PET-CT there was a metabolically-active lesion nearby Spence’s tail area of the left breast. The woman had another resection of breast tumor and recurrent tumor in axilla. Breast tumor was benign but in lymph nodes metastases of adenocarcinoma probably from lung were found. In CT there were a single metastatic focus in a left lung and enlarged mediastinal lymph nodes. The diagnosis of non-small cell lung cancer stage IV was established. The patient received 4 cycles of cisplatin and gemcitabine with disease stabilization. Four months later she had PET-CT which showed a metabolically-active lesion in an axillary lymph node. The patient had radiotherapy on the area of armpit. Four months later she noticed a tumor of a left breast and underwent mastectomy. Microscopic sections were compared and a histopathologist indicated breast as a primary origin of lymph nodes metastases. The clinical diagnosis was changed to breast cancer metastatic to axillary lymph nodes and probably with single lung metastasis (metabolically-inactive) and suspected mediastinal lymph nodes. She received 4 cycles of doxorubicin with cyclophosphamide discontinued because of intolerance. Eight months later she had a CT scan which revealed a tumor of the hilus and enlarged mediastinal lymph nodes. Pathological examination confirmed metastasis from breast cancer and second-line chemotherapy was started.

Get Citation

Keywords

breast cancer, non-small cell lung cancer, histopathology

About this article
Title

An atypical course of breast cancer

Journal

Oncology in Clinical Practice

Issue

Vol 10, No 3 (2014)

Article type

Case report

Pages

164-168

Published online

2014-07-30

Bibliographic record

Onkol. Prak. Klin 2014;10(3):164-168.

Keywords

breast cancer
non-small cell lung cancer
histopathology

Authors

Rafał Czyżykowski
Joanna Połowinczak-Przybyłek
Grażyna Pasz-Walczak
Piotr Potemski

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl