Department of Surgery, The Dingli Clinical Institute of Wenzhou Medical College (Wenzhou Central Hospital), Wenzhou, Zhejiang, P.R. China.
World J Surg Oncol. 2012 Nov 26;10:256. doi: 10.1186/1477-7819-10-256.
The most common sites of breast cancer metastasis are the bone, lung, liver and brain. However, colonic metastases from breast cancer are very rare in the clinic. We describe an unusual case of sigmoid colonic metastasis from invasive ductal breast cancer. With this report, we should increase the clinical awareness that any patient with a colorectal lesion and a history of malignancy should be considered to have a metastasis until proven otherwise. Early diagnosis is very important, which enables prompt initiation of systemic treatment, such as chemotherapy, endocrine therapy or both, thus avoiding unnecessary radical surgical resection and improving the prognosis.
乳腺癌最常见的转移部位是骨、肺、肝和脑。然而，临床上乳腺癌结直肠转移非常罕见。我们描述了一例浸润性导管乳腺癌引起的乙状结肠转移的不寻常病例。通过本报告，我们应该提高临床意识，即任何患有结直肠病变且有恶性肿瘤病史的患者都应被认为患有转移瘤，直到有其他证据证明否则。早期诊断非常重要，这可以促使及时开始全身治疗，如化疗、内分泌治疗或两者兼用，从而避免不必要的根治性手术切除，并改善预后。
