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 Table of Contents  
LETTER TO THE EDITOR
Year : 2015  |  Volume : 4  |  Issue : 5  |  Page : 688-689

Isolated caudate lobe metastasis from carcinoma breast with locoregional recurrence: Documentation by fluorodeoxyglucose-positron emission tomography/computed tomography


Radiation Medicine Centre, Bhabha Atomic Research Centre, Tata Memorial Centre Annexe, Mumbai, Maharashtra, India

Date of Web Publication9-Sep-2015

Correspondence Address:
Nandigam Santosh Kumar
Department of Radiation Oncology, Room No. 206, Resident Hostel, All India Institute of Medical Sciences Residential Complex, Basni Phase II, Jodhpur . 342 005, Rajasthan
India
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Source of Support: Nil., Conflict of Interest: There are no conflicts of interest.


DOI: 10.4103/2278-0513.162251

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How to cite this article:
Kumar NS, Basu S. Isolated caudate lobe metastasis from carcinoma breast with locoregional recurrence: Documentation by fluorodeoxyglucose-positron emission tomography/computed tomography. Clin Cancer Investig J 2015;4:688-9

How to cite this URL:
Kumar NS, Basu S. Isolated caudate lobe metastasis from carcinoma breast with locoregional recurrence: Documentation by fluorodeoxyglucose-positron emission tomography/computed tomography. Clin Cancer Investig J [serial online] 2015 [cited 2019 Oct 14];4:688-9. Available from: http://www.ccij-online.org/text.asp?2015/4/5/688/162251

Sir,

Isolated caudate lobe metastasis and its resection, though uncommon, is a definitive procedure particularly described in the context of colorectal carcinoma.[1-3] The occurrence in the setting of breast carcinoma, however, is uncommon and the present report describes such a rare case vignette detected with whole body fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) [Figure 1]. {Figure 1}

A 60-year-old female patient presented with carcinoma right breast 3 years previously and had undergone modified radical mastectomy and six cycles of chemotherapy. She was asymptomatic for 2 years until she presented lump in the right axilla for which she was evaluated with conventional CT and showed recurrent disease in the right chest wall with right axillary soft-tissue mass (apparently lymph nodal origin), which confirmed on histopathology to be metastatic lymph nodal mass from carcinoma breast. The patient was further evaluated with FDG-PET/CT whole body survey for distant metastases. The 18 fludeoxyglucose-FDG PET/CT demonstrated hypermetabolism at the site of skin and subcutaneous thickening consistent with locoregional disease recurrence. There was evidence of irregular soft-tissue lymph nodal mass in the right axilla which was infiltrating the lateral chest wall and had shown SUVmax 2.23 g/ml. Additional finding was the detection of hypermetabolism in the caudate lobe of the liver (SUVmax 1.23 g/ml), in the given case background of biopsy proven large volume locoregional recurrence, suggested metastatic disease involvement from breast carcinoma. The patient was started on chemotherapy and due to follow-up imaging sometime later.

Tanaka et al.[4] retrospectively reviewed the clinicopathological data for 13 consecutive patients with colorectal metastases to the hepatic caudate lobe; in this multivariate analysis study comparing caudate lobe metastasis to metastasis at other hepatic locations, hepatectomy with clear surgical margins was found to be difficult and negatively impacted hepatic disease-free survival.

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  References Top

1.
Jagannath P, Shrikhande S, Hegde S, Mullerpatan P, Shah R. Isolated caudate lobe resection for metastasis from rectal carcinoma. Indian J Gastroenterol 2002;21:113-4.   Back to cited text no. 1
    
2.
Lonardo MT, Ettorre GM, Vennarecci G, Carboni F, Graziano F, D'Annibale M, et al. Isolated resection of the caudate lobe in metastasis of colorectal cancer. Suppl Tumori 2005;4:S39-40.   Back to cited text no. 2
    
3.
Khan AZ, Wong VK, Malik HZ, Stiff GM, Prasad KR, Lodge JP, et al. The impact of caudate lobe involvement after hepatic resection for colorectal metastases. Eur J Surg Oncol 2009;35:510-4.   Back to cited text no. 3
    
4.
Tanaka K, Shimada H, Yamada M, Shimizu T, Ueda M, Matsuo K, et al. Clinical features and surgical outcome of hepatic caudate lobe metastases from colorectal cancer. Anticancer Res 2006;26:1447-53.  Back to cited text no. 4
    


    Figures

  [Figure 1]ClinCancerInvestigJ_2015_4_5_688_162251_f1.jpg



 

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