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Metastatic Lobular Carcinoma of the Breast

Patterns of Spread in the Chest, Abdomen, and Pelvis on CT

Corinne B. Winston1, Orna Hadar2, Jerrold B. Teitcher1, James F. Caravelli3, Nancy T. Sklarin4, David M. Panicek3 and Laura Liberman3

1 Department of Radiology, Memorial Sloan Kettering Cancer Center, Weill Medical College, Office #862, 160 E. 53rd St., New York, NY 10022.
2 Pro Health Radiology, 2800 Marcus Ave., Lake Success, NY 11042.
3 Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
4 Breast Oncology Service, Memorial Sloan Kettering Cancer Center, 205 E. 64th St., New York, NY 10021.



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Fig. 1. —52-year-old woman with metastatic lobular carcinoma to stomach. CT scan shows concentric wall thickening of stomach (long arrows) caused by metastatic lobular carcinoma and hepatic metastases (short arrows).

 


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Fig. 2. —72-year-old woman with metastatic lobular carcinoma to stomach. CT scan shows marked wall thickening of gastric body (asterisk).

 


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Fig. 3. —54-year-old woman with metastatic lobular carcinoma to colon. CT scan shows extensive wall thickening of ascending colon (curved arrow) and transverse colon (straight arrow) caused by metastatic lobular carcinoma.

 


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Fig. 4. —53-year-old woman with carcinomatosis caused by metastatic lobular carcinoma. CT scan reveals nodular soft tissue (curved arrow) and soft tissue along ascites in cul-de-sac (straight arrow).

 


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Fig. 5A. —65-year-old woman with metastatic lobular carcinoma to retroperitoneum. CT scans reveal soft-tissue infiltration in paraaortic space (arrows, A), thickening of anterior pararenal fascia (arrows, C), and bilateral hydronephrosis.

 


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Fig. 5B. —65-year-old woman with metastatic lobular carcinoma to retroperitoneum. CT scans reveal soft-tissue infiltration in paraaortic space (arrows, A), thickening of anterior pararenal fascia (arrows, C), and bilateral hydronephrosis.

 


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Fig. 5C. —65-year-old woman with metastatic lobular carcinoma to retroperitoneum. CT scans reveal soft-tissue infiltration in paraaortic space (arrows, A), thickening of anterior pararenal fascia (arrows, C), and bilateral hydronephrosis.

 


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Fig. 6. —53-year-old woman with pericardial metastasis. CT scan reveals metastasis along anterior pericardium (arrow).

 

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