Colon metastases as first clinical manifestation of lobular breast carcinoma with no subsequent evidence of breast disease

Mohammed Isaac Abu Zaanona, Aishwarya Gulati, Kendrith Rowland

Research output: Contribution to journalArticlepeer-review

Abstract

A 73-year- old woman was brought to the oestrogen receptor for altered mental status. She was found to be hypotensive and hypoglycaemic and admitted to the intensive care unit. She had a history of chronic watery diarrhoea which had recently increased over the last 2 weeks and was associated with vague abdominal pain. A CT showed bowel wall thickening concerning for colitis. Due to the increasing diarrhoea, a colonoscopy was done after all stool studies came back negative. Polyps in the ascending, transverse and sigmoid colon were found to be tubular adenomas but random colonic mucosa biopsies were revealed to be histologically consistent with metastatic lobular breast carcinoma. Further workup revealed no primary breast disease.

Original languageEnglish (US)
Article numbere236225
JournalBMJ Case Reports
Volume13
Issue number11
DOIs
StatePublished - Nov 30 2020

ASJC Scopus subject areas

  • Medicine(all)

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