The incidence of extrahepatic gastrointestinal metastases from breast cance
r is reported in the literature only as necroscopy studies (6-18 percent);
they usually originate from lobular or a mixed ductal-lobular subtype. Nons
pecific presenting symptoms, death of the patients caused by other more fre
quent metastases, and variable radiographic features mimicking primary neop
lasms cause a clinical underestimation of this pathology. We report here a
case of rectal metastasis from a lobular carcinoma eight years after mastec
tomy.