Background: Metastasis to the pancreas originating from malignant tumours is a rare event and, in the literature, we have found only 11 reported cases of solitary pancreatic metastases originating from breast cancer. Case Report: We report a case of a 51-year-old woman with primary breast cancer who developed obstructive jaundice and epigastric pain after 2 years without any symptoms. The pancreatic mass revealed by computed tomography (CT) scan and magnetic resonance imaging (MRI) was not recognised as a metastasis from breast cancer and the patient underwent cephalic pancreaticoduodenectomy. Conclusions: We discuss all aspects of the case management, stressing the importance of a careful evaluation of the clinical history and the primary cancer features and the usefulness of a multi-disciplinary approach. These aspects are of main importance for a correct diagnostic process and an appropriate therapeutic choice when a pancreatic lesion develops in a patient with prior neoplasm.

Metastasis to the Pancreas from Breast Cancer: Difficulties in Diagnosis and Controversies in Treatment / AMORE BONAPASTA, Stefano; Gregori, Matteo; Rosina, Lanza; Elena, Sangiorgi; Antonello, Menghi; Scarpini, Massimo; Modesti, Mauro. - In: BREAST CARE. - ISSN 1661-3791. - 5:3(2010), pp. 170-173. [10.1159/000314249]

Metastasis to the Pancreas from Breast Cancer: Difficulties in Diagnosis and Controversies in Treatment

AMORE BONAPASTA, Stefano;GREGORI, MATTEO;SCARPINI, Massimo;MODESTI, Mauro
2010

Abstract

Background: Metastasis to the pancreas originating from malignant tumours is a rare event and, in the literature, we have found only 11 reported cases of solitary pancreatic metastases originating from breast cancer. Case Report: We report a case of a 51-year-old woman with primary breast cancer who developed obstructive jaundice and epigastric pain after 2 years without any symptoms. The pancreatic mass revealed by computed tomography (CT) scan and magnetic resonance imaging (MRI) was not recognised as a metastasis from breast cancer and the patient underwent cephalic pancreaticoduodenectomy. Conclusions: We discuss all aspects of the case management, stressing the importance of a careful evaluation of the clinical history and the primary cancer features and the usefulness of a multi-disciplinary approach. These aspects are of main importance for a correct diagnostic process and an appropriate therapeutic choice when a pancreatic lesion develops in a patient with prior neoplasm.
2010
treatment strategies; pancreas; breast cancer; differential diagnosis; metastasis
01 Pubblicazione su rivista::01a Articolo in rivista
Metastasis to the Pancreas from Breast Cancer: Difficulties in Diagnosis and Controversies in Treatment / AMORE BONAPASTA, Stefano; Gregori, Matteo; Rosina, Lanza; Elena, Sangiorgi; Antonello, Menghi; Scarpini, Massimo; Modesti, Mauro. - In: BREAST CARE. - ISSN 1661-3791. - 5:3(2010), pp. 170-173. [10.1159/000314249]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/360224
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