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The Utility of Ultrasound-guided Tru-cut Biopsy in the Diagnosis of Occult Breast Carcinoma Presenting as Ovarian Malignancy with Multiple Metastases: A Case of Unknown Primary

Authors

  • Kareen N. Reforma, MD Division of Ultrasound, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila https://orcid.org/0000-0002-1492-5245 (##common.opensInNewWindow##)
  • Maria Julieta V. Germar, MD Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.vi0.5128

Keywords:

carcinoma of unknown primary occult breast cancer ovarian metastases tru-cut biopsy ultrasound

Abstract

This paper documents the utility of ultrasound-guided tru-cut biopsy in the diagnosis and subsequent management of a case of occult breast carcinoma presenting with multiple distant metastases in the absence of a primary breast lesion. She was initially diagnosed as primary ovarian malignancy with metastatic disease and subsequently underwent transvaginal ultrasound-guided tru-cut biopsy of the right ovarian mass. Histologic and immunohistochemical studies were consistent with a metastatic adenocarcinoma of breast origin. The patient underwent chemotherapy for primary breast carcinoma and has responded well.

References

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