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In 1985, a 63−year−old woman underwent left modified radical mastectomy and pro− phylactic right mastectomy for infiltrat− ing lobular carcinoma, stage T3N1M0, and received adjuvant chemotherapy. At a screening colonoscopy in 2002, she was found to have diverticulosis. In 2005, the patient developed left lower quadrant ab− dominal pain, which responded to anti− biotics; she was presumed to have diverti− culitis and was referred to a surgical clin− ic. Three weeks later, she underwent elec− tive laparoscopic resection of the left co− lon.

Breast cancer metastatic to the colon 20 years after bilateral mastectomy