Non-Mammary Metastasis to Breast,a Diagnostic Challenge

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Hameed Marium; MUSHTAQ SAJID; Hussain Mudassar; Hassan Usman; Sheikh Umer Nisar

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Journal Paper

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Journal: Archives of Breast Cancer Year:2022 | Volume:9 | Issue:2 Page(s): 179-185

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Title

Non-Mammary Metastasis to Breast,a Diagnostic Challenge

Author(s)

Keywords

Non-mammary metastasis

Immunohistochemistry

Appropriate history

Diagnostics

Breast cancer

Abstract

Background: Non-mammary metastasis to the breast poses a diagnostic challenge for the pathologists especially when no prior history of non-mammary malignancy is provided. Since Non-mammary metastasis is not a very common occurrence, there is a chance that it can be easily missed especially with overlapping morphology and unknown prior history of any malignancy. Methods: In total, 40 patients matching our inclusion criteria were identified through hospital information system in a 10-year period. Confirmatory stains were used to confirm the diagnosis. Results: The most common primary malignancy site was gastrointestinal tract comprising 35% of the metastasis. This was followed by small cell carcinomas (17. 5%). In addition, in 72. 5% of the patients, there was a known history of primary malignancy but only in 18 (45%) of the cases, the clinicians mentioned it on the biopsy request form. For the remaining cases (27. 5%), the clinician was contacted after the verification of the report and was asked to evaluate the possibility of metastasis from the known primary site. Conclusion: Identifying the Non-mammary metastasis is important at the time of initial diagnosis as it can prevent the patient from extensive surgery, which might not be needed, if it is not a primary breast tumor. Provision of prior history and use of immunohistochemical stains can aid in timely and accurate diagnosis.

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APA: Copy

Hameed, Marium, MUSHTAQ, SAJID, Hussain, Mudassar, Hassan, Usman, & Sheikh, Umer Nisar. (2022). Non-Mammary Metastasis to Breast,a Diagnostic Challenge. ARCHIVES OF BREAST CANCER, 9(2), 179-185. SID. https://sid.ir/paper/1100348/en

Vancouver: Copy

Hameed Marium, MUSHTAQ SAJID, Hussain Mudassar, Hassan Usman, Sheikh Umer Nisar. Non-Mammary Metastasis to Breast,a Diagnostic Challenge. ARCHIVES OF BREAST CANCER[Internet]. 2022;9(2):179-185. Available from: https://sid.ir/paper/1100348/en

IEEE: Copy

Marium Hameed, SAJID MUSHTAQ, Mudassar Hussain, Usman Hassan, and Umer Nisar Sheikh, “Non-Mammary Metastasis to Breast,a Diagnostic Challenge,” ARCHIVES OF BREAST CANCER, vol. 9, no. 2, pp. 179–185, 2022, [Online]. Available: https://sid.ir/paper/1100348/en

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