Rare Case report: Non-mass invasive ductal carcinoma presenting with rectal and cervical lymph node metastasis as the initial symptom

Zhifeng Xiong¹Qiong Zhang²Yuan Gao¹Min Zeng¹Huachao Yang¹Gang Lv^1*

• ¹Department of Breast, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China
• ²Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, Beijing Municipality, China

It is uncommon for breast cancer to present with distant metastasis as the initial symptom. This study reported a 67-year-old female patient with breast non-mass invasive ductal carcinoma, who sought medical attention due to abdominal distention, lower abdominal pain, constipation, hematochezia, and left-sided neck swelling. After a thorough examination, pathology confirmed the diagnosis of breast invasive ductal carcinoma, along with cervical lymph node and rectal metastasis. The nonspecific breast symptoms in this case posed challenges for the early diagnosis of breast cancer. This also suggests that for breast cancer patients without a history of gastrointestinal disease, the presence of changes in bowel habits should raise suspicion for metastatic lesions. Imaging combined with biopsy pathology plays an important role in the diagnosis and treatment of non-mass breast cancer.This case also underscores the importance of breast health awareness and routine breast cancer screening among women, both for clinical practice and public health initiatives. Notably, early identification and diagnosis of non-mass breast cancer, coupled with the development of personalized treatment plans through multidisciplinary collaboration, are essential for enhancing treatment efficacy.