Abstract

RUIZ, José M. Vela- et al. Bilateral breast carcinoma in visceral crisis. Rev. Fac. Med. Hum. [online]. 2021, vol.21, n.3, pp.645-652. ISSN 1814-5469.  http://dx.doi.org/10.25176/rfmh.v21i3.3921.

Bilateral breast carcinoma is rare and infrequent, it is good to define if it occurs synchronously or metachronously, to define if the lesion in the second breast is metastasis or a primary tumor using pathological criteria, the state and clinical condition. For the prognosis and specialized treatment to follow. We present the case of a patient with ECIV breast cancer due to contralateral breast metastasis in a state of visceral crisis at debut, with pathological anatomy of grade 2 infiltrating ductal carcinoma of the breast, absent in situ component in both breast, RE (70%) , RP (80%), Cerb2 negative, Ki67 30% in the right breast and RE (100%) RP (80%) Cerb2-Ki67 20% left breast. A chest-abdomen-pelvis tomography was performed, showing pleural effusion. bilateral and large volume ascites. It was decided to start treatment with systemic chemotherapy, reaching a complete radiological and clinical response. After achieving good control of the disease, the first hormonal line will be sought.

Keywords : Infiltrating ductal breast carcinoma; contralateral metastasis; visceral crisis. (fuente: MeSH NLM)..

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