Bilateral Invasive Lobular Cancer Presenting with Multiple GastroIntestinal and Disseminated Metastasis

Invasive Lobular Cancer (ILC) of the breast accounts for about 15% of breast malignancies and tend to present as multiple lesions and involve bilateral breasts compared to Invasive Ductal Cancer (IDC). Because of its subtle symptoms, ILC would present late in terms of age and disease stage. This is a case of an otherwise healthy, middle aged women presenting with progressive abdominal distention and dyspepsia. Later she was found to have multiple widespread malignancies originating from the breast. Breast cancer metastasis to Gastrointestinal Tract (GIT) occurrence is rare and is more commonly observed among ILCs. There are few cases reported of ILC with GIT metastasis and even less with multiple GIT metastasis. Here we report a case with multiple GIT, and other site of metastasis with initial presentation of late stage breast cancer disease.