A Biliary Recurrence of a Breast Cancer
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Breast cancer is the most frequently diagnosed cancer globally. It’s the leading cause of death by cancer in women. The systemic treatment of breast cancer recurrence prolongs survival and enhances quality of life but is not curative. Therefore, treatment associated with minimal toxicity should be preferred.Extrahepatic biliary obstruction caused by metastatic breast carcinoma is rare. In most reported cases, biliary obstruction was related to metastatic periductal or peripancreatic lymph nodes.A 51-year-old female with a history of radical mastectomy with axillary lymph node dissection, adjuvant chemotherapy and radiation for a breast cancer was referred to the emergency room due to cholangitis. A CT scan showed a common bile duct mass invading the duodenum. After bile draining, the investigations led to an undifferentiated carcinoma with positive hormonal receptors. The diagnosis of a breast cancer recurrence was established and the patient was commenced on taxane therapy....

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