Case Reports in Oncology (May 2018)

Intramammary Metastasis in a Patient with a History of Renal Cell Carcinoma: A Case Report

  • Miyuki Kitahara,
  • Yasuo Hozumi,
  • Rio Asada,
  • Aya Sawa,
  • Hitoaki Saito,
  • Tatsuo  Iijima

DOI
https://doi.org/10.1159/000489391
Journal volume & issue
Vol. 11, no. 2
pp. 318 – 322

Abstract

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Intramammary metastasis of renal cell carcinoma (RCC) is extremely rare, accounting for only 1.5% of all intramammary metastases. Distinguishing intramammary metastases from benign tumors and breast cancer is clinically problematic. Some patients undergo excessive surgery after a misdiagnosis of breast cancer instead of a mammary tumor. We performed a core needle biopsy (CNB) of a breast mass that developed in a 71-year-old woman after surgeries for bilateral RCC and breast cancer, leading to a diagnosis of intramammary metastasis of RCC. In this case, the CNB and immunohistochemical examination were critical for reaching a definitive diagnosis. We conclude that, when examining patients with mammary tumors, establishing their history of malignant tumors may help diagnose intramammary metastasis and select the best treatment strategy.

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