Khan Abdul H, Thompson Christopher C, Carr-Locke David L
Division of Gastroenterology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
MedGenMed. 2005 May 16;7(2):17.
We report the case of a patient with chronic diarrhea due to infiltrative cancer to the colon from the breast. A 49-year-old woman with a history of metastatic breast cancer to the bones was admitted to hospital with 4 weeks of watery diarrhea. Computed tomography (CT) scan of the abdomen showed pancolitis. Colonoscopy showed patchy subepithelial hemorrhages, most prominently in the ascending colon and sigmoid colon, but no mass lesion. Random biopsies taken throughout the colon showed infiltrative adenocarcinoma of breast origin in multiple specimens. Infectious work-up was negative.
我们报告了一例因乳腺癌转移至结肠导致慢性腹泻的患者。一名有骨转移性乳腺癌病史的49岁女性因4周的水样腹泻入院。腹部计算机断层扫描(CT)显示全结肠炎。结肠镜检查显示散在的上皮下出血,最明显的是在升结肠和乙状结肠,但未发现肿块病变。在整个结肠进行的随机活检在多个标本中显示为乳腺来源的浸润性腺癌。感染方面的检查结果为阴性。