Al-Jarrah Adil, Taranikanti Varna, Sawhney Sukhpal, Furrukh Muhammad, Al-Hosni Mohammad, Saparamadu P A M, De Silva M V C
Departments of Surgery, Sultan Qaboos University Hospital;
Sultan Qaboos Univ Med J. 2013 Aug;13(3):460-2. Epub 2013 Jun 25.
Breast cancer is known to metastasise to different organs in the body, but an initial presentation of breast cancer with loin pain secondary to a metastatic renal mass is extremely rare. We report a 58-year-old woman who presented with recurrent left loin pain due to a metastatic deposit of invasive lobular carcinoma of the breast. The detection of a renal mass on computed tomography led to the assumption of a renal pelvic malignancy. The diagnostic dilemma posed by the detection of a breast mass during staging and the usefulness of immunohistochemistry in the confirmation of diagnosis are discussed.
乳腺癌已知会转移至身体的不同器官，但以转移性肾肿块继发腰背痛为首发表现的乳腺癌极为罕见。我们报告一名58岁女性，因乳腺浸润性小叶癌的转移灶出现反复左侧腰背痛。计算机断层扫描发现肾脏肿块，导致推测为肾盂恶性肿瘤。本文讨论了分期时发现乳腺肿块所带来的诊断困境以及免疫组化在确诊中的作用。
