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.
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