Cervi G, Vettoretto N, Vinco A, Cervi E, Villanacci V, Grigolato P, Giulini S M
Division of General Surgery, Hospital of Gardone Val Trompia, Italy.
Dis Colon Rectum. 2001 Mar;44(3):453-5. doi: 10.1007/BF02234749.
The incidence of extrahepatic gastrointestinal metastases from breast cancer is reported in the literature only as necroscopy studies (6-18 percent); they usually originate from lobular or a mixed ductal-lobular subtype. Nonspecific presenting symptoms, death of the patients caused by other more frequent metastases, and variable radiographic features mimicking primary neoplasms cause a clinical underestimation of this pathology. We report here a case of rectal metastasis from a lobular carcinoma eight years after mastectomy.
乳腺癌肝外胃肠道转移的发生率在文献中仅作为尸检研究报道(6%-18%);它们通常起源于小叶型或导管-小叶混合型亚型。非特异性的临床表现、患者因其他更常见转移而死亡以及类似原发性肿瘤的多样影像学特征导致临床上对这种病理情况的低估。我们在此报告一例乳房切除术后八年发生小叶癌直肠转移的病例。