Distant Metastasis to Genital Organs in Infiltrating Ductal Carcinoma of the Breast in a Young Patient

A case of metastatic involvement of uterus including cervix in a 37-year old patient with invasive ductal breast carcinoma, ER/PR positive but HER-2 negative and managed on tamoxifen for 2 years is reported. The patient presented with post-coital spotting. Importance of pelvic examination during follow-up of pre-menopausal patients on tamoxifen is emphasized. All patients of breast cancer presenting with vaginal bleeding and/or an enlarged uterus must be evaluated for metastatic involvement of the female genital tract.