Neal Lonzetta, Sookhan Nicole, Reynolds Carol
Divisions of General Internal Medicine Breast Diagnostic Clinic, and Pathology, Department of Surgery, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
Case Rep Med. 2009;2009:564756. doi: 10.1155/2009/564756. Epub 2009 Dec 22.
Occult breast cancer has frequently been described as presenting as axillary lymph node metastases but rarely as gastrointestinal metastases, Varadarajan et al. (2007). In extremely rare situations, cancerous lesions identified in the gastrointestinal tract have been determined to be metastatic lesions from primary breast cancers, Taal et al. (2000). We report a case of an occult lobular adenocarcinoma presenting as gastrointestinal metastases. It is essential that the possibility of lesions found in the gastrointestinal tract originating from distant or occult cancers be considered in order that appropriate therapeutic options may be discussed and considered early after diagnosis.
隐匿性乳腺癌常被描述为以腋窝淋巴结转移为表现，但很少以胃肠道转移为表现（Varadarajan等人，2007年）。在极为罕见的情况下，胃肠道中发现的癌性病变已被确定为原发性乳腺癌的转移灶（Taal等人，2000年）。我们报告一例隐匿性小叶腺癌以胃肠道转移为表现的病例。必须考虑胃肠道中发现的病变源自远处或隐匿性癌症的可能性，以便在诊断后尽早讨论并考虑合适的治疗方案。
