Invasive lobular carcinoma of the breast presenting successively with colonic and gastric metastases

Involvement of the gastrointestinal tract by metastases from invasive lobular carcinoma of the breast is well recognised. We report a unique case where, four years after the initial management of the primary breast disease, the patient developed colonic metastases followed by a disease-free interval of two years and then presented with gastric metastases. The patient responded successfully to first- and second-line chemotherapeutic agents on both occasions and is currently being maintained on third-line hormonal therapy.