医学
乳腺癌
胰腺癌
转移
胰腺
放射科
脾切除术
放射治疗
胰腺切除术
背景(考古学)
癌症
内科学
脾脏
生物
古生物学
作者
Márcio Apodaca-Rueda,Fábio Chaim,Milena da Silva Garcia,Helena de Almeida de Paes Saito,Martinho Antônio Gestic,Martinho Antônio Gestic,Francisco Callejas-Neto,Élinton Adami Chaim,Everton Cazzo
标识
DOI:10.1590/1516-3180.2017.0144260617
摘要
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 primary 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 underwent distal pancreatectomy with splenectomy and left adrenalectomy, and presented an uneventful outcome. The immunohistochemical analysis on the surgical specimen suggested that the lesion originated from the breast. CONCLUSION: In cases of pancreatic lesions detected in patients with a previous history of breast neoplasm, the possibility of pancreatic metastasis should be carefully considered.
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