Table 1: Reported cases of anal metastasis from breast carcinoma [10].
Case |
Age (years) |
Histology |
Interval |
Clinical presentation |
Therapy |
Survival |
Dawson et al. [4] |
70 |
ILC |
34 months |
Altering bowel habit, constipation, anal discharge |
Laparotomy and RT |
? |
Haberstich et al. [5] |
78 |
IDC |
At diagnosis |
Painful anal tumefaction and blood loss with stools |
Abdominoperineal resection and RT |
Disease-free at 22 months follow-up |
Nair et al. [6] |
57 |
IDC |
7 years |
Alternating bowel habit, crampy lower abdominal pain, increased frequency of bowel movements |
Colostomy and RT |
? |
Puglisi et al. [7] |
92 |
ILC |
4 years |
Tenesmus and painful anal polypoid lesion |
RT and hormonal therapy |
3 years |
Bochicchio et al. [8] |
72 |
ILC |
4 years |
Constipation, tenesmus, fecal incontinence |
Hartmann rectal amputation and RT |
Few months after RT |
Rengifo et al. [9] |
78 |
IDC |
27 months before diagnosis of BC |
Rectal bleeding, weight loss, constipation |
RT and hormonal therapy |
? |
Ruymbeke et al. [10] |
65 |
ILC |
4 years |
Altering pattern of stool, intermittent fecal incontinence and tenesmus |
RT and hormonal therapy and chemotherapy |
Alive 15 months after diagnosis of anorectal metastasis |
ILC: Invasive Lobular Carcinoma; IDC: Invasive Ductal Carcinoma; HT: Hormonal Therapy; RT: Radiotherapy.