Published in:
01-12-2011 | Case Report
Metastatic uterine leiomyosarcoma presenting as a breast lump
Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2011
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Background
It is uncommon to encounter a breast metastasis from an extramammary malignancy and even rarer from a uterine leiomyosarcoma.
Aims
We describe the third case report in the medical literature of a breast metastasis from a uterine leiomyosarcoma.
Methods
We report the management of a 56-year-old patient who presented with a breast lump 3 years after hysterectomy for a fibroid uterus. We conducted a literature review of breast leiomyosarcomas.
Results
The excision of the breast mass revealed a low-grade leiomyosarcoma. Radiographic examinations demonstrated metastases to the lung, liver, pelvis and bone. Retrospective pathology review of her uterus identified a small focus of leiomyosarcoma. She received chemotherapy and palliative radiotherapy but passed away within few months.
Conclusion
Metastasis to the breast from a non-breast primary is generally a sign of disseminated disease and; thus, a poor prognostic indicator.