Case Report

Volume: 7 | Issue: 1 | Published: Dec 25, 2022 | Pages: 6 - 12 | DOI: 10.24911/ejmcr/173-1649603180

Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report


Authors: Talar Ozler orcid logo , Rusen Cosar orcid logo , Dilek Nurlu , Ebru Tastekin , Sernaz Uzunoglu , Tulin Yalta , Yusuf Kavuzlu , Serdar Solak , Sule Parlar , Bilge Avcı , Zeynep Alas , Mustafa Cem Uzal


Article Info

Authors

Talar Ozler

Radiation Oncology Department, Trakya University Faculty of Medicine, Edirne, Turkey

orcid logo ORCID

Rusen Cosar

Department of Pathology, Trakya University Faculty of Medicine, Edirne, Turkey

orcid logo ORCID

Dilek Nurlu

Department of Medical Oncology, Trakya University Faculty of Medicine, Edirne, Turkey

Ebru Tastekin

Department of Radiology, Trakya University Faculty of Medicine, Edirne, Turkey

Sernaz Uzunoglu

University of Strasbourg Faculty of Life Sciences, Strasbourg, France

Tulin Yalta

Department of Radiation Oncology, Istanbul Arel University Faculty of Medicine, Istanbul, Turkey.

Yusuf Kavuzlu

Radiation Oncology Department, Trakya University Faculty of Medicine, Edirne, Turkey

Serdar Solak

Department of Radiology, Trakya University Faculty of Medicine, Edirne, Turkey

Sule Parlar

Radiation Oncology Department, Trakya University Faculty of Medicine, Edirne, Turkey

Bilge Avcı

Department of Pathology, Trakya University Faculty of Medicine, Edirne, Turkey

Zeynep Alas

University of Strasbourg Faculty of Life Sciences, Strasbourg, France

Mustafa Cem Uzal

Department of Radiation Oncology, Istanbul Arel University Faculty of Medicine, Istanbul, Turkey

Publication History

Received: April 11, 2022

Revised: August 01, 2022

Accepted: August 01, 2022

Published: December 25, 2022


Abstract


Background: Buccal mucosa metastasis is rare in breast cancer patients. Case Presentation: A 50-year-old female breast cancer patient with invasive lobular carcinoma (ILC) in his eight years follow-up period presented with a swelling in the right eye. Head and neck MRI was showed soft tissue formation with dimensions of 59x31 mm was detected in the axial plane, extending from the level of the right infratemporal fossa to the right buccinator muscle and right maxillary sinus in front of the alveolar process. In the right periorbital region, there was a thickness increase of up to 1 cm in the thickest part of the globe, which was evident in the anterolateral. In addition, there was no bone destruction in the right infratemporal region in maxillofacial CT, and no additional organ metastasis was detected in PET-CT performed for systemic scanning. In the histopathological examination of the tissue, carcinoma infiltration was detected. Radiotherapy was applied to the right buccal and orbital region of the patient as 30 Gy in 12 fractions (2.5 Gy per fraction) with volumetric modulated arc therapy technique and then 15 Gy in 6 fractions (2.5 Gy per fraction) boost radiotherapy with the adaptive technique were applied. At the follow-up 2 months later, clinical response was observed in the patient, and significant regression of the lesion was observed in facial and orbital MRI. At the 15th month follow-up of the patient, clinical and radiological remission continues. All clinical complaints regressed. Conclusion: ILC is a subtype of breast cancer that is characterized by unusual metastasis. Therefore, during the follow-up of these patients, it is necessary to monitor both laboratory values and clinical complaints very carefully.

Keywords: Radiotherapy, lobular carcinoma, metastasis, breast cancer, buccal mucosa, green


Pubmed Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal. Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report. EJMCR. 2022; 25 (December 2022): 6-12. doi:10.24911/ejmcr/173-1649603180

Web Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal. Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report. https://ejmcr.com/articles/1074 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1649603180

AMA (American Medical Association) Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal. Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report. EJMCR. 2022; 25 (December 2022): 6-12. doi:10.24911/ejmcr/173-1649603180

Vancouver/ICMJE Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal. Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report. EJMCR. (2022), [cited December 25, 2024]; 25 (December 2022): 6-12. doi:10.24911/ejmcr/173-1649603180

Harvard Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal (2022) Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report. EJMCR, 25 (December 2022): 6-12. doi:10.24911/ejmcr/173-1649603180

Chicago Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal. "Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report." 25 (2022), 6-12. doi:10.24911/ejmcr/173-1649603180

MLA (The Modern Language Association) Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal. "Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report." 25.December 2022 (2022), 6-12. Print. doi:10.24911/ejmcr/173-1649603180

APA (American Psychological Association) Style

Talar Ozler, Rusen Cosar, Dilek Nurlu, Ebru Tastekin, Sernaz Uzunoglu, Tulin Yalta, Yusuf Kavuzlu, Serdar Solak, Sule Parlar, Bilge Avcı, Zeynep Alas, Mustafa Cem Uzal (2022) Atypical metastasis localization, buccal mucosa,in a patient with invasive lobular breast cancer: a case report. , 25 (December 2022), 6-12. doi:10.24911/ejmcr/173-1649603180