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Metastatic uterine leiomyosarcoma presenting as a breast lump

  • Case Report
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Abstract

Background

It is uncommon to encounter a breast metastasis from an extramammary malignancy and even rarer from a uterine leiomyosarcoma.

Aims

We describe the third case report in the medical literature of a breast metastasis from a uterine leiomyosarcoma.

Methods

We report the management of a 56-year-old patient who presented with a breast lump 3 years after hysterectomy for a fibroid uterus. We conducted a literature review of breast leiomyosarcomas.

Results

The excision of the breast mass revealed a low-grade leiomyosarcoma. Radiographic examinations demonstrated metastases to the lung, liver, pelvis and bone. Retrospective pathology review of her uterus identified a small focus of leiomyosarcoma. She received chemotherapy and palliative radiotherapy but passed away within few months.

Conclusion

Metastasis to the breast from a non-breast primary is generally a sign of disseminated disease and; thus, a poor prognostic indicator.

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Author information

Authors and Affiliations

  1. Department of Surgery, South Infirmary Victoria University Hospital, Cork, Ireland

    S. Sibartie, J. O. Larkin & D. Richardson

  2. Department of Histopathology, Mercy University Hospital, Cork, Ireland

    G. Lee & J. Fitzgibbon

  3. Department of Medical Oncology, South Infirmary Victoria University Hospital, Cork, Ireland

    S. O’Reilly

Authors
  1. S. Sibartie
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  2. J. O. Larkin
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  3. G. Lee
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  4. J. Fitzgibbon
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  5. S. O’Reilly
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  6. D. Richardson
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Corresponding author

Correspondence to S. Sibartie.

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Sibartie, S., Larkin, J.O., Lee, G. et al. Metastatic uterine leiomyosarcoma presenting as a breast lump. Ir J Med Sci 180, 889–891 (2011). https://doi.org/10.1007/s11845-009-0286-8

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  • DOI: https://doi.org/10.1007/s11845-009-0286-8

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