Department of Surgery.
Libyan J Med. 2009 Sep 1;4(3):120-2. doi: 10.4176/090510.
Breast is an uncommon and rare site for metastasis. Primary and secondary tumors of the breast need to be differentiated as management is different. We present a 67 year old female patient with two breast lumps and an axillary lymph node, 5 years after nephrectomy for Renal Cell Carcinoma (RCC). Mammogram report showed a dense spiculated mass at right upper outer quadrant and a retroareolar mass associated with clustered micro calcifications. Fine Needle Cytology and trucut biopsy were inconclusive. Computer Topography (CT) abdomen did not show evidence of RCC recurrence. After discussion with the patient, she underwent mastectomy with axillary clearance and the final histopathology report was consistent with metastasis from RCC. The management of this case is discussed.
乳房是转移的罕见部位。需要对原发性和继发性乳腺癌进行鉴别，因为其治疗方法不同。我们报告了一例 67 岁女性患者，5 年前因肾细胞癌（RCC）行肾切除术，现出现两个乳房肿块和腋窝淋巴结。乳房 X 线照片报告显示右外上象限有一个密集的有刺状的肿块和一个与簇状微钙化相关的乳晕后肿块。细针细胞学和 tru-cut 活检结果不确定。腹部计算机断层扫描（CT）未显示 RCC 复发的证据。与患者讨论后，她接受了乳房切除术和腋窝清扫术，最终的组织病理学报告与 RCC 转移一致。讨论了该病例的处理方法。
