Pera M, Riera E, Lopez R, Viñolas N, Romagosa C, Miquel R
Section of Gastrointestinal Surgery, Institute of Digestive Diseases, Hospital Clínic, University of Barcelona Medical School, Spain.
Mayo Clin Proc. 2001 Feb;76(2):205-7. doi: 10.1016/S0025-6196(11)63129-7.
We describe a case of gastric metastasis from a lobular carcinoma of the breast in a 45-year-old woman who had undergone a left mastectomy with axillary dissection 7 years earlier. At the current presentation, she had been experiencing progressive epigastric discomfort for 3 months. The initial diagnosis was early gastric carcinoma, diffuse type, based on gastric biopsy findings and ultrasonographic endoscopy. A definitive diagnosis of metastatic breast cancer was confirmed after subtotal gastrectomy of a presumed primary early gastric carcinoma. Although gastrointestinal metastases from breast cancer are not rare, the early stage of the gastric lesion and the absence of further disease dissemination make this case unusual. The onset of gastrointestinal symptoms in a patient with a history of breast carcinoma should prompt the physician to rule out the possibility of gastric metastases.
我们描述了一例45岁女性，其胃转移瘤源自乳腺小叶癌，该患者7年前接受了左侧乳房切除术及腋窝淋巴结清扫术。此次就诊时，她已持续3个月出现进行性上腹部不适。根据胃活检结果及超声内镜检查，初步诊断为早期胃癌，弥漫型。在对疑似原发性早期胃癌进行胃次全切除术后，确诊为转移性乳腺癌。虽然乳腺癌的胃肠道转移并不罕见，但该病例中胃病变处于早期且无进一步疾病播散，使其具有特殊性。有乳腺癌病史的患者出现胃肠道症状时，医生应警惕胃转移的可能性。
