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直肠癌转移至乳腺:一例病例报告及文献综述

Rectal carcinoma metastasizing to the breast: a case report and review of literature.

作者信息

Singh Tejinder, Premalatha C S, Satheesh C T, Lakshmaiah K C, Suresh T M, Babu K Govind, Ramachandra C

机构信息

Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bangalore-560 030, India.

出版信息

J Cancer Res Ther. 2009 Oct-Dec;5(4):321-3. doi: 10.4103/0973-1482.59904.

Abstract

Extramammary breast metastases (from non-breast primaries) are rare, constituting only about 2% of all breast metastases, although autopsy studies show that it may occur in up to 6% of cases. Lymphoma, metastatic melanoma, and bronchial carcinoma are the malignancies that account for the majority of breast metastases. Breast metastases from a colorectal carcinoma have been described in only a small number of cases in the literature. We present a case of a 42-year-old woman with an incidental finding of a breast lump. She had a history of Dukes C rectal carcinoma for which she had undergone an anterior resection 11 months earlier. The breast deposit was the first clinical indication of relapse. The patient subsequently developed liver and brain metastases and deteriorated rapidly; she died 2 months after presenting with the breast mass.

摘要

乳腺外转移(源自非乳腺原发肿瘤)较为罕见,仅占所有乳腺转移瘤的约2%,不过尸检研究显示其发生率可能高达6%。淋巴瘤、转移性黑色素瘤和支气管癌是导致乳腺转移的主要恶性肿瘤。文献中仅有少数病例报道了结直肠癌发生乳腺转移的情况。我们报告一例42岁女性,偶然发现乳腺肿块。她有杜克C期直肠癌病史,11个月前接受了前切除术。乳腺肿物是复发的首个临床迹象。该患者随后出现肝转移和脑转移,并迅速恶化;在出现乳腺肿块2个月后死亡。

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