Signet ring breast carcinoma metastases limited to the endometrium and cervix

Breast cancer metastatic to the cervix and uterus in the absence of extrape lvic foci is a rare finding in the medical literature. Signet ring breast c arcinoma is also an unusual neoplasm. We present an asymptomatic 71-year-ol d woman 2 years status-post modified radical mastectomy for signet ring car cinoma who was found to have metastatic lesions to the cervix and endometri um at the time of a routine gynecological examination. Bone scan as well as computerized tomography of the chest, abdomen, and pelvis failed to locate other metastatic sites. We believe this to be the only reported case of si gnet ring breast carcinoma metastatic solely to the uterus and cervix. The patient's lack of recent pelvic examination highlights the need for continu ed gynecological evaluation in patients with breast cancer.