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Anal localization as first manifestation of metastatic ductal breast carcinoma

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The incidence of extrahepatic gastrointestinal metastases from breast cancer is reported in the literature only as necroscopy studies (6–18%); they usually originate from lobular or a mixed ductal–lobular subtype. Nonspecific presenting symptoms, death of the patients caused by other more frequent metastases, and variable radiographic features mimicking primary neoplasms cause a clinical underestimation of this pathology. We report here a case of rectal metastasis from an invasive ductal carcinoma (IDC). This is to our knowledge, the first recorded instance of an anal metastasis from IDC.

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Correspondence to J. J. Tuech.

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Haberstich, R., Tuech, J.J., Wilt, M. et al. Anal localization as first manifestation of metastatic ductal breast carcinoma. Tech Coloproctol 9, 237–238 (2005).

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