TAVOLI ATTETEK FORMAJABAN JELENTKEZO OKKULT EMLORAK. ESETISMERTETES

Translated title of the contribution: Occult breast cancer presenting in distant metastases - A case report

G. Cserni, G. Boross, I. Mecsery, L. Marko, I. Schmidt

Research output: Contribution to journalArticle

Abstract

Occult breast cancers constitute less than 1% of all cases. these are both clinically and mammographically hidden tumors with present with metastases, almost always in the axillary lymph nodes, A case of a patient with occult breast cancer presenting with distant metastases is reported. The 72-year-old female patient was first admitted to hospital because of aspecific symptoms and metastatic cancer cells were seen in the bone marrow smear. Bone scintigraphy revealed Several foci suspicious for metastatic disease. The: search for a primary tumor Was unsuccessful. Histopathologic evaluation of the biopsies from the later cutaneous nodules and a removed enlarged right axillary node pointed to an invasive primary lobular carcinoma of the breast, confirmed with estrogen receptor positivity of the tumor cells. The mammogram was negative repeatedly. The patient received 'third line' hormonal treatment. Progression of the disease led to wide excision of the upper outer quadrant of the right breast, but the primary tumor was not revealed in the excised specimen. Frozen sections proved the presence of invasive lobular carcinoma, and a mastectomy with axillary dissection was performed. The panned chemotherapy was omitted because the patient died of a right pontine infarction. Despite its rarity occult breast cancer may be present in Hungary in some dozen cases each year. The case report focuses on clinical, pathological and radiological correlations and diagnostic and therapeutic difficulties and dilemmas of such cases.

Original languageHungarian
Pages (from-to)712-717
Number of pages6
JournalLege Artis Medicinae
Volume7
Issue number11
Publication statusPublished - 1997

Fingerprint

Breast Neoplasms
Neoplasm Metastasis
Lobular Carcinoma
Neoplasms
Hungary
Mastectomy
Frozen Sections
Radionuclide Imaging
Estrogen Receptors
Infarction
Disease Progression
Dissection
Breast
Lymph Nodes
Bone Marrow
Biopsy
Bone and Bones
Drug Therapy
Skin
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cserni, G., Boross, G., Mecsery, I., Marko, L., & Schmidt, I. (1997). TAVOLI ATTETEK FORMAJABAN JELENTKEZO OKKULT EMLORAK. ESETISMERTETES. Lege Artis Medicinae, 7(11), 712-717.

TAVOLI ATTETEK FORMAJABAN JELENTKEZO OKKULT EMLORAK. ESETISMERTETES. / Cserni, G.; Boross, G.; Mecsery, I.; Marko, L.; Schmidt, I.

In: Lege Artis Medicinae, Vol. 7, No. 11, 1997, p. 712-717.

Research output: Contribution to journalArticle

Cserni, G, Boross, G, Mecsery, I, Marko, L & Schmidt, I 1997, 'TAVOLI ATTETEK FORMAJABAN JELENTKEZO OKKULT EMLORAK. ESETISMERTETES', Lege Artis Medicinae, vol. 7, no. 11, pp. 712-717.
Cserni G, Boross G, Mecsery I, Marko L, Schmidt I. TAVOLI ATTETEK FORMAJABAN JELENTKEZO OKKULT EMLORAK. ESETISMERTETES. Lege Artis Medicinae. 1997;7(11):712-717.
Cserni, G. ; Boross, G. ; Mecsery, I. ; Marko, L. ; Schmidt, I. / TAVOLI ATTETEK FORMAJABAN JELENTKEZO OKKULT EMLORAK. ESETISMERTETES. In: Lege Artis Medicinae. 1997 ; Vol. 7, No. 11. pp. 712-717.
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