Hild C, Talha-Vautravers A, Hoefler P, Zirabe S, Bellocq J-P, Mathelin C
Unité de sénologie, pôle de gynécologie-obstétrique, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg cedex, France.
Unité de sénologie, pôle de gynécologie-obstétrique, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg cedex, France.
Gynecol Obstet Fertil. 2014 Jan;42(1):47-50. doi: 10.1016/j.gyobfe.2013.08.015. Epub 2013 Dec 3.
Breast carcinoma exceptionally leads to metastatic linitis plastica. Distinguishing a breast cancer metastasis to the stomach from a primary gastric cancer on the basis of clinical and radiological signs is very challenging. Thanks to being cognizant of the previous history of invasive lobular carcinoma and the gastric biopsy followed by immunohistochemical analysis, gastric metastasis can be diagnosed. Despite the use of chemotherapy and hormonal therapy, gastric metastasis remains often associated with poor prognosis. We present a case where gastric biopsy allowed a metastatic breast cancer to the stomach to be diagnosed and we discuss its clinical, diagnostic, pathological and therapeutic particularities.
乳腺癌极少导致转移性皮革胃。根据临床和放射学征象区分胃的乳腺癌转移与原发性胃癌极具挑战性。由于了解浸润性小叶癌的既往病史并进行胃活检及免疫组化分析,胃转移可得以诊断。尽管采用了化疗和激素治疗,胃转移通常仍预后不良。我们报告一例通过胃活检诊断出胃转移性乳腺癌的病例,并讨论其临床、诊断、病理和治疗特点。