Background: Breast cancer often metastasizes to the lungs, bones, liver, and brain, colon metastasis from breast cancer (CMBC) is extremely rare. Case Report: The patient was a 63-year-old female. Mastectomy had been performed for breast cancer (pStage IIB) 15 years earlier at another hospital. Metastasis to the lumbar spine had been detected 4 years prior to referral to us and the patient had undergone hormonal therapy with an aromatase inhibitor. Furthermore, early primary sigmoid colon cancer had been endoscopically resected 2 years before referral. The patient was diagnosed with cancer recurrence in the colon at follow-up examinations performed 2 years after that endoscopic resection. After referral to our hospital, laparoscopic sigmoidectomy was performed. Based on the histopathological examination and immunohistological staining results (positive for cytokeratin 7, GATA-binding protein 3, estrogen receptor and human epidermal growth factor receptor-related 2 (2+); negative for cytokeratin 20, progesterone receptor, E-cadherin, gross cystic disease fluid protein 15 and caudal-related homeobox 2) the final pathological diagnosis was CMBC. Conclusion: Although extremely rare, the possibility of CMBC should be considered in the case of colonic tumors in patients with a history of breast cancer.Breast cancer is a common cancer with a yearly worldwide incidence of approximately 2,090,000 new cases and 630,000 deaths (1). The number of patients with breast cancer is increasing; however, its prognosis is better than that of other cancer types due to recent advances in surgical procedures, radiation, chemotherapy, and hormone therapy (2). Breast cancer generally metastasizes to the lungs, bones, liver, and brain, rarely to the gastrointestinal (GI) tract (3). In most cases to the GI, metastasis occurs in the stomach or small intestine, with colonic metastasis from breast cancer (CMBC) being extremely rare. We herein report a case of metastasis to the colon 15 years after mastectomy, with a review of the pertinent literature.