Journal of

Case Reports and Images in Oncology

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Case Report
Recurrent triple negative breast cancer with early severe systemic metastases
Sabrina S. Sam1, Karel T.S. Valenta1
1MS3, Northwest Hospital, Randallstown, MD, USA.

Article ID: 100013Z10SS2016

Address correspondence to:
Sabrina Sundari Sam
6062 Green Meadow Parkway Apt A, Baltimore
MD 21209

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How to cite this article:
Sam SS, Valenta KTS. Recurrent triple negative breast cancer with early severe systemic metastases. J Case Rep Images Oncology 2016;2:14–17.

Introduction: Triple negative breast cancer is an aggressive subtype seen in up to 20% of breast cancer diagnoses. The locations of metastases differ from receptor positive breast cancers and recurrence occurs earlier after treatment.
Case Report: Our patient is a 65-year-old female diagnosed with stage II high grade triple negative invasive ductal carcinoma after a suspicious abnormality was found on a screening mammogram. She received neoadjuvant chemotherapy, bilateral total mastectomy, and radiation therapy. Two months after radiation was completed she developed nodules over her chest wall and was subsequently diagnosed with recurrent breast cancer with metastases to the skin, lungs, and bone.
Conclusion: Triple negative breast cancer metastasizes most commonly to the brain and lungs. Distant spread is also seen more frequently and earlier. Altered follow-up protocols for patients with triple negative breast cancer are essential in order to identify metastases earlier.

Keywords: Metastatic breast cancer, Sternal metastasis, Triple negative breast cancer

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Author Contributions
Sabrina S. Sam – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Karel T.S. Valenta – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
Conflict of interest
Authors declare no conflict of interest.
© 2016 Sabrina S. Sam et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

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