Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama, 231-8553, Japan.
Surg Today. 2011 May;41(5):698-700. doi: 10.1007/s00595-010-4345-6. Epub 2011 May 1.
A 79-year-old female patient underwent breast-conservation surgery following a diagnosis of right breast cancer in July 2007. In November 2008, the patient presented at our hospital with acute onset of lower abdominal pain. She was diagnosed with panperitonitis due to gastrointestinal perforation, and underwent an emergency operation. At the time of the operation, one site of free perforation was found in the small intestine, and a 2-3-cm nodule was found in the 50-cm anal side from the site of this perforation. Multiple metastases to the para-aortic lymph nodes and mesenteric lymph nodes were also found. The patient recovered without complications and was discharged from the hospital, but 3 months after surgery she succumbed due to multiple liver metastases. It is important to identify metastatic intestinal tumors in patients who have breast cancer.
一位 79 岁女性患者于 2007 年 7 月诊断为右乳腺癌后接受了保乳手术。2008 年 11 月，该患者因突发下腹疼痛到我院就诊。她被诊断为胃肠穿孔导致的弥漫性腹膜炎，并接受了紧急手术。手术时发现小肠有一处游离穿孔，穿孔部位距肛门侧 50cm 处有 2-3cm 结节。还发现多个腹主动脉旁淋巴结和肠系膜淋巴结转移。患者术后无并发症康复出院，但术后 3 个月因多发肝转移而死亡。对于患有乳腺癌的患者，识别转移性肠道肿瘤非常重要。
