Ascites as the first sign of breast cancer – case report
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Department of Family Medicine, Medical University, Lublin, Poland
Department of Internal Diseases, Medical University, Lublin, Poland
II Department of Radiology, Medical University, Lublin, Poland
Corresponding author
Paweł Kiciński   

Department of Family Medicine, Medical University, Staszica 11, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2012;6(1):54–56
Ascites (peritoneal cavity fluid) is a pathological sign occurring as a result of accumulation of exudate or transudate fluid in the peritoneal cavity. The most frequent causes of the development of ascites are: cirrhosis (approx. 80%), cancer (10%), other liver diseases which take the course with portal hypertension, chronic heart failure, nephrotic syndrome, pancreatitis and tuberculosis. Breast cancer is the most frequent carcinoma in females worldwide, and the most frequent cause of death, but ascites is its rare clinical manifestation. Metastases of breast cancer into the alimentary tract and/or peritoneum, however, are infrequent. In the presented study, we discussed difficulties related to the differential diagnostics of ascites which turned out to be the first, non-specific clinical manifestation of advanced breast cancer.
Terlikiewicz J, Marciniak L. Wodobrzusze. (Ascites). Pol Med Paliat. 2003; 2(2): 105-109 (in Polish).
Jassem J, Krzakowski M (ed.). Rak piersi. Praktyczny przewodnik dla lekarzy. (Breast cancer. A practical guide for physicians). Via Medica, Gdańsk 2009; 1-13 (in Polish).
Krzakowski M et al. (Eds.). Zalecenia postępowania diagnostycznoterapeutycznego w nowotworach złośliwych. (Guidelines for diagnosis and therapy of malignant tumors). Vol. I. Via Medica, Gdańsk 2011; pp 197 (in Polish).
McLemore E, Pockaj B, Reynolds C, et al. Breast cancer: presentation and intervention in women with gastrointestinal metastasis and carcinomatosis. Ann Surg Oncol. 2005; 12(11): 886-894.
Tuthill M, Guiliani R, Pell R, Lim A, Gudi M, et al. Peritoneal disease in breast cancer: a specific entity with an extremely poor prognosis. Eur J Cancer. 2009; 45(12): 2146-2149.
Viguier J, De Muret A, Bacq Y. Ascites due to portal hypertension from breast cancer- related metastatic liver infiltration. Gastroenterol Clin Biol 2006; 30(6-7): 903-905.
Bordes J, Cotte J, Prunet B, d‘Aranda E, Meaudre E, Kaiser E. Fatal right heart failure complicating undiagnosed metastatic breast cancer. J Emerg Med. 2012; 29. On-line acces: (access: 2012.05.23).
Runyon B. AASLD Practice guidelines. Management of adult patients with ascites due to cirrhosis: An update. Hepatology 2009; 49(6): 2087- 2107.