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Indian Journal of Surgical Oncology
Published in: Indian Journal of Surgical Oncology 1/2021

01-04-2021 | Computed Tomography | Case Report

Solitary Pancreatic Head Metastasis from Ductal Carcinoma of Breast: A Case Report

Authors: Parag Ingle, Pravin Khandare, Manjit Rajput, Megha Tiwari, Mangesh Patil, Ajay Mehta

Published in: Indian Journal of Surgical Oncology | Special Issue 1/2021

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Abstract

Liver, bones, and brain are common sites for breast cancer metastasis. We report here a rare scenario of metastasis to pancreatic head from breast cancer after a disease free interval of 7 years. A 60-year old breast cancer survivor noticed upper abdominal pain for 2 weeks, and her investigations revealed a pancreatic head mass lesion. Computed tomography imaging revealed a solitary pancreatic mass lesion with portal cavernoma formation and a guided biopsy yielded adenocarcinoma on histopathological examination. Immunohistochemistry processing demonstrated estrogen receptor, cytokeratin 7, and GATA 3 positivity which confirmed it to be a metastasis. Therapy was initiated with palbociclib and exemestane. Later, everolimus was started in view of failure of hormonal therapy. The patient is still alive 21 months after diagnosing the recurrence.
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Metadata
Title
Solitary Pancreatic Head Metastasis from Ductal Carcinoma of Breast: A Case Report
Authors
Parag Ingle
Pravin Khandare
Manjit Rajput
Megha Tiwari
Mangesh Patil
Ajay Mehta
Publication date
01-04-2021
Publisher
Springer India
Published in
Indian Journal of Surgical Oncology / Issue Special Issue 1/2021
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI
https://doi.org/10.1007/s13193-021-01284-x

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