Molés J R, Primo J, Hinojosa J, Fernández J, Lluch A
Unidad de Digestivo. Servicio de Medicina Interna. Hospital de Sagunto. Valencia. España.
Gastroenterol Hepatol. 2002 Nov;25(9):549-51.
We present the case of a woman of 48 years old, with a gastric metastases from breast lobular carcinoma that was operated eight years ago, being free of illness until today. The symptoms who presented her were totally inespecific and the diagnostic techniques of image realized were compatible with the diagnostic of plastic linitis. The histological findings of biopsy and hormonals receptors study confirmed the diagnostic of gastric metastases of primary breast carcinoma after a comparative study with the initial surgical piece. After starting hormonal and cistostatic treatment, the patient presented a partial improvement of her symptomatology with a survival that exceeds ten months. The gastric metastases of lobular carcinoma are not so infrequent as it was believed, and its diagnostic require a high index of suspicion, given the inespecifity of symptomatology that it used to present.
我们报告一例48岁女性病例，其8年前因乳腺小叶癌发生胃转移而接受手术，至今一直无病。她出现的症状完全不具特异性，所进行的影像诊断技术结果与皮革胃的诊断相符。活检的组织学结果和激素受体研究在与最初手术标本进行对比研究后，证实为原发性乳腺癌胃转移。开始激素和化疗治疗后，患者症状部分改善，生存期超过10个月。小叶癌的胃转移并不像过去认为的那样罕见，鉴于其症状通常缺乏特异性，其诊断需要高度怀疑指数。
