Emilia Virginia Lima Curvelo Fontes
1 
, Nataliê Almeida Silva
1 , Lister Arruda Modesto dos Santos
1 , Vitorino Modesto dos Santos
2* 1 General Surgery Department, State Worker’s Hospital, São Paulo-SP, Brazil
2 Medicine Department, Armed Forces Hospital and Catholic University, Brasília-DF, Brazil
*Corresponding Author: *Corresponding Author: Vitorino Modesto dos Santos, MD, PhD; Armed Forces Hospital, Estrada do Contorno do Bosque s/n, Cruzeiro Novo, Brasília-DF 70.658- 900, Brasil. Tel: +55-61-39662103; Fax: +55-61-32331599; Email: , Email:
vitorinomodesto@gmail.com
Abstract
The scarcely reported hematogenous rectal metastases from breast cancer are rare and the diagnosis is challenging. They may be recognized before, concomitantly with, or after the diagnosis of the primary site of breast cancer. Invasive lobular cancer is the histological type more frequently described, and most of the affected patients have a late diagnosis. Tardive recognition is associated with poor outcomes, despite the management options. Endoscopic and imaging evaluations, mainly magnetic resonance studies, are useful, but the anatomopathological findings are mandatory to confirm the diagnostic hypothesis. We describe a middle-aged woman with advanced rectal metastases of unsuspected breast cancer found during the evaluation of manifestations due to intestinal implants. One must highlight long-term follow-up of breast cancers even if seeming in remission. The aim of this report is to enhance the suspicion index of primary health care workers.