Four lymph nodes were isolated and were free of tumor, and the margins of the specimen had no evidence of cancer. Immediate follow-up consisting of tumoral marker determinations, thorax x-ray film, and bone scintigraphy confirmed no signs of distant disease. Hormonal therapy was initiated.Despite improvements in the treatment of primary breast cancer, distant metastases to bone, lung, and liver occur frequently. Breast cancer is the second most common primary tumor that metastasizes to the gastrointestinal tract.