REPORTING A RARE CASE OF BILATERAL BREAST CANCER PRESENTING WITH A LATE CERVICAL METASTASIS

Abstract

Metastasis to the cervix is one among the uncommon complications of breast carcinoma . And its earlier detection before the diagnosis of the primary breast carcinoma is much more rare . Accounting to this , the present case report describes a 45 year old lady  detected to have bilateral infiltrating lobular carcinoma of breast , for which she was treated with neoadjuvant chemo-radiation , followed by bilateral MRM and prophylactic BSO . Post op HPE showed infiltrating lobular carcinoma , grade II of the breast along with  metastatic carcinoma of glandular origin in both ovaries and tubes . Underwent treatment with chemo-radiation followed by tamoxifen for 5 years . After 9 years , was detected to have liver and bone metastasis for which she took palliative chemotherapy . Later , as a part of routine investigation was detected to have a cervical mass which on HPE showed metastatic infiltrating lobular breast  carcinoma . Further was treated with palliative  chemo-radiation which was discontinued as she  developed ascites .Hence concluding the importance of periodic gynaecological examination in all cases of breast cancer