Solitary pancreatic metastasis from breast cancer

case report and review of literature

Autores

  • Márcio Apodaca-Rueda Faculdade de Medicina da Pontíficia Universidade Católica de Campinas (PUC-Campinas)
  • Fábio Henrique Mendonça Chaim Departament of Sugery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Milena da Silva Garcia Department of Internal Medicine, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Helena Paes de Almeida de Saito Department of Internal Medicine, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Martinho Antonio Gestic Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Murillo Pimentel Utrini Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Francisco Callejas-Neto Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Elinton Adami Chaim Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)
  • Everton Cazzo Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

Palavras-chave:

Breast neoplasms, Pancreas, Neoplasm metastasis, Pancreatic neoplasms, Carcinoma, ductal, breast

Resumo

CONTEXT: Pancreatic metastases from primary malignant tumors at other sites are rare, constituting about 2% of the neoplasms that affect the pancreas. Pancreatic metastasis from breast cancer is extremely rare and difficult to diagnose, because its clinical and radiological presentation is similar to that of a pri-mary pancreatic tumor. CASE REPORT: A 64-year-old female developed a lesion in the pancreatic tail 24 months after neoadjuvant therapy, surgery and adjuvant radiation therapy for right-side breast cancer (ductal carcinoma). She un-derwent distal pancreatectomy with splenectomy and left adrenalectomy, and presented an uneventful outcome. The immunohistochemical analysis on the surgical specimen suggested that the lesion origi-nated from the breast. CONCLUSION: In cases of pancreatic lesions detected in patients with a previous history of breast neo-plasm, the possibility of pancreatic metastasis should be carefully considered.

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Biografia do Autor

Márcio Apodaca-Rueda, Faculdade de Medicina da Pontíficia Universidade Católica de Campinas (PUC-Campinas)

Medical Student, Faculdade de Medicina da Pontíficia Universidade Católica de Campinas (PUC-Campinas), Campinas (SP), Brazil.

 

Fábio Henrique Mendonça Chaim, Departament of Sugery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD. Resident Physician, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

Milena da Silva Garcia, Department of Internal Medicine, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD. Assistant Lecturer, Oncology Unit - Department of Internal Medicine, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

Helena Paes de Almeida de Saito, Department of Internal Medicine, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD. Assistant Lecturer, Oncology Unit - Department of Internal Medicine, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

Martinho Antonio Gestic, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD, MSc. Assistant Lecturer, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

Murillo Pimentel Utrini, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD, MSc. Assistant Lecturer, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

Francisco Callejas-Neto, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD, MSc. Assistant Professor, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

Elinton Adami Chaim, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD, MSc, PhD. Full Professor, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil. 

Everton Cazzo, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP)

MD, PhD. Adjunct Professor, Department of Surgery, Faculdade de Ciências Médicas da Universidade  Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil.

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Publicado

2019-04-04

Como Citar

1.
Apodaca-Rueda M, Chaim FHM, Garcia M da S, Saito HP de A de, Gestic MA, Utrini MP, Callejas-Neto F, Chaim EA, Cazzo E. Solitary pancreatic metastasis from breast cancer: case report and review of literature. Sao Paulo Med J [Internet]. 4º de abril de 2019 [citado 14º de março de 2025];137(2):201-5. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/825

Edição

v. 137 n. 2 (2019)

Seção

Relato de Caso

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Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.