A case report of ductal carcinoma of the breast metastasizing to the bowel

Breast cancer is one of the most common cancers affecting women. Frequent metastatic sites include liver, lungs and bone. Gastrointestinal metastases are a rare entity. We report a case of ductal carcinoma metastasizing to the sigmoid colon. A 74-year female was found to have a mass at her sigmoid colon on surveillance colonoscopy. The initial histology showed poorly differentiated carcinoma. Further immunohistochemical staining revealed poorly differentiated metastatic ductal breast carcinoma 27 years after her primary breast cancer. She proceeded to resection and had an uneventful recovery. She remains alive with stable retroperitoneal lymph node and tail of pancreas metastatic disease.