Bilateral breast carcinoma in visceral crisis: Carcinoma bilateral de mama en crisis visceral

• Autores: Vela Ruiz, José Manuel, Ferrer-Ponce, Diana I., Sotelo, Miguel J., Bustamante –Coronado, Reina, León-Nué, Nury
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Universidad Ricardo Palma
• Repositorio: Revistas - Universidad Ricardo Palma
• Lenguaje: español; inglés
• OAI Identifier: oai:oai.revistas.urp.edu.pe:article/3921
• Enlace del recurso: http://revistas.urp.edu.pe/index.php/RFMH/article/view/3921
• Nivel de acceso: acceso abierto
• Materia: Carcinoma ductal infiltrante de mama; metástasis contralateral; crisis visceral; Infiltrating ductal breast carcinoma,; contralateral metastasis; visceral crisis

Bilateral breast carcinoma is rare and infrequent , it is good to define if it occurs synchronously or metachronously, to define if the lesion in the second breast  is metastasis or a primary tumor using pathological criteria, the state and clinical condition . For the prognosis and specialized treatment to follow. We present the case of a patient with ECIV breast cancer due to contralateral breast metastasis in a state of visceral crisis at debut, with pathological anatomy of grade 2 infiltrating ductal carcinoma of the breast, absent in situ component in both breast , RE (70%) , RP (80%), Cerb2 negative, Ki67 30% in the right breast and RE (100%) RP (80%) Cerb2-Ki67 20% left breast. A chest-abdomen-pelvis tomography was performed, showing pleural effusion. bilateral and large volume ascites. It was decided to start treatment with systemic chemotherapy, reaching a complete radiological and clinical response. After achieving good control of the disease, the first hormonal line will be sought.