Abdominal pain with anorexia in patients with breast carcinoma

Breast cancer is the second commonest primary tumour responsible for gastro intestinal metastases after malignant melanoma. The real incidence of gastr ointestinal metastases in breast cancer patients is probably underestimated owing to the non-specific presenting symptoms and death of patients caused by other more obvious metastases. The predominant histological subtype of gastrointestinal metastases of breast cancer is invasive lobular carcinoma and the median interval from diagnosis of primary breast cancer to gastroin testinal metastases is five years. We report two cases of disseminated brea st cancer with gastrointestinal involvement with a rather long survival.