Ovarian tumor: Rare presentation of breast cancer metastasis

Introduction: Ovarian metastasis is uncommon. Approximately, 10% breast carcinoma will have ovarian involvement1 . It involved bilateral ovaries in about 80% of cases 1 . Due to its low prevalence, ovarian metastasis from a lobular type of breast carcinoma is rare. Here, we presented a case of...

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Main Authors: Mahno, Noor Ezmas, Idris, Mohd Faiz, Amjad, Nasseer
Format: Proceeding Paper
Language:English
English
Published: 2014
Subjects:
Online Access:http://irep.iium.edu.my/58475/
http://irep.iium.edu.my/58475/7/58475-abstract-edited.pdf
http://irep.iium.edu.my/58475/1/poster%20ovarian%20mets%20brca%20final%20%281%29.pdf
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author Mahno, Noor Ezmas
Idris, Mohd Faiz
Amjad, Nasseer
author_facet Mahno, Noor Ezmas
Idris, Mohd Faiz
Amjad, Nasseer
author_sort Mahno, Noor Ezmas
building IIUM Repository
collection Online Access
description Introduction: Ovarian metastasis is uncommon. Approximately, 10% breast carcinoma will have ovarian involvement1 . It involved bilateral ovaries in about 80% of cases 1 . Due to its low prevalence, ovarian metastasis from a lobular type of breast carcinoma is rare. Here, we presented a case of invasive lobular breast carcinoma metastasis to ovaries after 6 years of the first diagnosis Case Summary: This is a 39 years old Malay lady diagnosed as left breast invasive lobular carcinoma with initial clinical staging of T2 N1 M0 in 2008. Initially she had wide local excision with axillary clearance but due to involved deep surgical margin she underwent mastectomy. Progestrogen receptor is positive. Estrogen and HER2 receptor was negative. Subsequently, she completed FAC regimes and radiotherapy. She has been on Tamoxifen since 2010. In January 2014, she presented with painless abdominal distension of 4 months duration without bowel or urinary symptom or pain. CT scan showed bilateral ovarian masses, likely malignant. Exploratory laparotomy was carried out by the Gynaecology team. Intraoperatively, there was bilateral ovarian tumor with pelvic lymphadenopathy and ascites. Total abdominal hysterectomy bilateral salphingoophorectomy and omentectomy was done. Histopathological reports came back as metastatic ovarian invasive lobular carcinoma with positive pelvic lymphadenopathy but no omentum involvement. After oncologist consultation, we planned for second line of chemotherapy, Doxitacel for 6 cycles.
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language English
English
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publishDate 2014
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spelling iium-584752017-09-26T06:41:48Z http://irep.iium.edu.my/58475/ Ovarian tumor: Rare presentation of breast cancer metastasis Mahno, Noor Ezmas Idris, Mohd Faiz Amjad, Nasseer RD Surgery Introduction: Ovarian metastasis is uncommon. Approximately, 10% breast carcinoma will have ovarian involvement1 . It involved bilateral ovaries in about 80% of cases 1 . Due to its low prevalence, ovarian metastasis from a lobular type of breast carcinoma is rare. Here, we presented a case of invasive lobular breast carcinoma metastasis to ovaries after 6 years of the first diagnosis Case Summary: This is a 39 years old Malay lady diagnosed as left breast invasive lobular carcinoma with initial clinical staging of T2 N1 M0 in 2008. Initially she had wide local excision with axillary clearance but due to involved deep surgical margin she underwent mastectomy. Progestrogen receptor is positive. Estrogen and HER2 receptor was negative. Subsequently, she completed FAC regimes and radiotherapy. She has been on Tamoxifen since 2010. In January 2014, she presented with painless abdominal distension of 4 months duration without bowel or urinary symptom or pain. CT scan showed bilateral ovarian masses, likely malignant. Exploratory laparotomy was carried out by the Gynaecology team. Intraoperatively, there was bilateral ovarian tumor with pelvic lymphadenopathy and ascites. Total abdominal hysterectomy bilateral salphingoophorectomy and omentectomy was done. Histopathological reports came back as metastatic ovarian invasive lobular carcinoma with positive pelvic lymphadenopathy but no omentum involvement. After oncologist consultation, we planned for second line of chemotherapy, Doxitacel for 6 cycles. 2014 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/58475/7/58475-abstract-edited.pdf application/pdf en http://irep.iium.edu.my/58475/1/poster%20ovarian%20mets%20brca%20final%20%281%29.pdf Mahno, Noor Ezmas and Idris, Mohd Faiz and Amjad, Nasseer (2014) Ovarian tumor: Rare presentation of breast cancer metastasis. In: College of Surgeons, Academy of Medicine Of Malaysia AGM & Annual Scientific Meeting, 23-25th May 2014, Kuching, Sarawak. (Unpublished) http://csamm.org.my/files/CSAMM2014_AbstractBook.pdf
spellingShingle RD Surgery
Mahno, Noor Ezmas
Idris, Mohd Faiz
Amjad, Nasseer
Ovarian tumor: Rare presentation of breast cancer metastasis
title Ovarian tumor: Rare presentation of breast cancer metastasis
title_full Ovarian tumor: Rare presentation of breast cancer metastasis
title_fullStr Ovarian tumor: Rare presentation of breast cancer metastasis
title_full_unstemmed Ovarian tumor: Rare presentation of breast cancer metastasis
title_short Ovarian tumor: Rare presentation of breast cancer metastasis
title_sort ovarian tumor: rare presentation of breast cancer metastasis
topic RD Surgery
url http://irep.iium.edu.my/58475/
http://irep.iium.edu.my/58475/
http://irep.iium.edu.my/58475/7/58475-abstract-edited.pdf
http://irep.iium.edu.my/58475/1/poster%20ovarian%20mets%20brca%20final%20%281%29.pdf