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Research ArticleClinical Studies

Breast Metastasis 56 Months before the Diagnosis of Primary Ovarian Cancer: A Case Study

SUSANNE E. SCHNEUBER, HEINZ S. SCHOLZ, PETER REGITNIG, EDGAR PETRU and RAIMUND WINTER
Anticancer Research September 2008, 28 (5B) 3047-3050;
SUSANNE E. SCHNEUBER
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  • For correspondence: susanne.schneuber@klinkum-graz.at
HEINZ S. SCHOLZ
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PETER REGITNIG
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EDGAR PETRU
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RAIMUND WINTER
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Abstract

Background: Breast metastasis of ovarian cancer is rare. A patient with a breast tumor which turned out to be a metastasis as the first clinical manifestation of a primary ovarian cancer diagnosed 56 months later is described. Case Report: A 72-year-old patient presented with a palpable mass in the right breast. Lumpectomy was performed and primary breast cancer was excluded. Histology confirmed a poorly differentiated adenocarcinoma. However, further examination showed no evidence of extramammary primary malignancy. Fifty-six months later, a multicystic pelvic lesion with irregular septa was found. Laparotomy showed a tumor of the right adnexa. The final pathology confirmed the diagnosis of a primary serous ovarian carcinoma. The paraffin blocks of both tumors were reevaluated and showed that the cytological atypia and the immunohistochemical profiles [cytokeratin (CK) 5/6, CK 17, gross cystic disease fluid protein (GCDFP)-15 / BRST-2, estrogen- and progesterone receptor, cancer antigen (CA)125, Wilms tumor (WT-1), tumorsuppressor gene p53, MIB-1 (proliferation marker)] were similar in both the breast and the ovarian specimens. Conclusion: To our knowledge, this is the first report of a breast metastasis preceding the diagnosis of primary ovarian cancer by several years.

  • Breast metastasis
  • primary ovarian cancer
  • diagnosis

Footnotes

  • Received January 31, 2008.
  • Revision received June 26, 2008.
  • Accepted July 4, 2008.
  • Copyright© 2008 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved
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Anticancer Research: 28 (5B)
Anticancer Research
Vol. 28, Issue 5B
September-October 2008
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Breast Metastasis 56 Months before the Diagnosis of Primary Ovarian Cancer: A Case Study
SUSANNE E. SCHNEUBER, HEINZ S. SCHOLZ, PETER REGITNIG, EDGAR PETRU, RAIMUND WINTER
Anticancer Research Sep 2008, 28 (5B) 3047-3050;

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Breast Metastasis 56 Months before the Diagnosis of Primary Ovarian Cancer: A Case Study
SUSANNE E. SCHNEUBER, HEINZ S. SCHOLZ, PETER REGITNIG, EDGAR PETRU, RAIMUND WINTER
Anticancer Research Sep 2008, 28 (5B) 3047-3050;
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