J Korean Soc Radiol.  2019 Jan;80(1):135-140. 10.3348/jksr.2019.80.1.135.

Imaging Findings of Breast Metastasis from Squamous Cell Carcinoma of the Cervix: A Case Report

• Shin D
• Chang YW
• Lee EJ
• Cha H
• Hong SS
• Hwang JY
• Jin YM

• KMID: 2442473
• DOI: http://doi.org/10.3348/jksr.2019.80.1.135

Abstract

Metastasis from extramammary malignancy to the breast is rare, and metastasis of cervical cancer to the breast is quite uncommon. We report atypical sonographic findings of a rapid growing, single, and circumscribed mass with complex cystic and solid echo pattern in a 50-year-old female. The mass confirmed a metastasis from cervical cancer. It is rare, but the possibility of breast metastasis should be considered when a rapidly growing breast mass is located in between the parenchyma and subcutaneous fat layer.

MeSH Terms

Breast Neoplasms
Breast*
Carcinoma, Squamous Cell*
Cervix Uteri*
Epithelial Cells*
Female
Humans
Middle Aged
Neoplasm Metastasis*
Subcutaneous Fat
Ultrasonography
Uterine Cervical Neoplasms

Figure

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  Fig. 1. A 50-year-old woman with breast metastasis from squamous cell carcinoma of cervix. A. Mammogram shows an oval, circumscribed, and equal-density mass in the upper portion of the left breast (arrow). B. An oval, circumscribed, hypoechoic mass is noted between the subcutaneous fat layer and parenchyma at the left breast on ultrasonography and no vascularity on color Doppler image (right upper and leftupper panel, 0.97 × 0.49 × 1.76 cm). After 3 weeks, the mass is a larger, oval, circumscribed, complex cystic and solid mass with increased peripheral vas-cularity (left lower and right lower panel, 2.14 × 1.04 × 2.41 cm). A 50-year-old woman with breast metastasis from squamous cell carcinoma of cervix. C. Enhanced pelvic MRI shows heterogeneous enhancing mass (arrows) at the uterine cervix, invading rectum, upper vagina, and left ureter. D. PET-CT scan shows a hypermetabolic mass at the uterine cervix, invading rectum, upper vagina, and left ureter. Peritoneal seeding nodules and metastatic lymphadenopathy at the left paraaortic and subclavian area are apparently disseminated disease. The breast mass shows hypermetabolism on the PET-CT scan. U = uterus

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Reference

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