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In this report, we present a case of a 69-year old female who underwent a mastectomy for bilateral breast carcinoma. She was treated with radiation and chemotherapy. Fifteen years later, a follow-up computer-tomography revealed two tumor nodules on the left kidney measuring 1 and 3 cm with enlarged paraaortic lymph nodes measuring up to 2.5 cm in diameter, clinically suggesting further dissemination of breast cancer. Surprisingly, surgery revealed a huge neoplastic mass in the pancreatic tail. A pancreatic tumor showed a strongly positive immunohistochemical expression for CK-8 (MSIP protocol), CK-18 and MUC-1 markers.