Short Communication, J Clin Exp Oncol Vol: 10 Issue: 10
Metastasis of Breast Cancer
Navneet Kaur
Assistant Professor, Maharishi Markandeswar institute of medicalsciences & research; Haryana, Mullana-Ambala, India
Abstract
Isolated midbrain metastasis from breast cancer is a rare occurrence. We present a classical clinic image of women who presented with breast cancer with synchronous isolated midbrain metastasis. The brain is one of the common sites of metastases from breast cancer next only to the bone, liver and lung. Solitary brain metastases are now common with the increasing use of surveillance imagining. But isolated midbrain metastases are still a rare occurrence. A 50 year old perimenopausal lady presented to the neurologist with dropping of the right eyelid and diplopia. She was evaluated neurologically and found to have isolated third cranial or the Occulomotor nerve palsy on the right. A CECT i.e. Contrast enhanced Computerised Tomography was done on the brain reported a single space occupying lesion in the midbrain. When probed further, she revealed a right-sided breast lump
Keywords: Metastases, Solitary brain
Introduction
Isolated midbrain metastasis from breast cancer is a rare occurrence. We present a classical clinic image of women who presented with breast cancer with synchronous isolated midbrain metastasis. The brain is one of the common sites of metastases from breast cancer next only to the bone, liver and lung. Solitary brain metastases are now common with the increasing use of surveillance imagining. But isolated midbrain metastases are still a rare occurrence. A 50 year old perimenopausal lady presented to the neurologist with dropping of the right eyelid and diplopia. She was evaluated neurologically and found to have isolated third cranial or the Occulomotor nerve palsy on the right. A CECT i.e. Contrast enhanced Computerised Tomography was done on the brain reported a single space occupying lesion in the midbrain. When probed further, she revealed a right-sided breast lump. She was then referred to the surgical oncology department. Clinical evaluation did reveal a right-sided LABC i.e. locally advanced breast cancer with classical Peau’d orange appearance on her right breast. A trucut biopsy was done which confirmed invasive ductal carcinoma of breast