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Metastatic Invasive Lobular Carcinoma of the Breast Masquerading as a Primary Renal Malignancy

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Author(s): Adil Al-Jarrah | Varna Taranikanti | Sukhpal Sawhney | Muhammad Furrukh | Mohammad Al-Hosni | P. A. M. Saparamadu | M. V. C. De Silva

Journal: Sultan Qaboos University Medical Journal : SQUMJ
ISSN 2075-051X

Volume: 13;
Issue: 3;
Start page: 453;
Date: 2013;
Original page

Keywords: Breast | Lobular carcinoma | Metastasis | Renal | Immunohistochemistry | Case Report | Oman

ABSTRACT
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-oldwoman 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.
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