Muehlenberg K, Dietl O, Piso P, Pech O
Klinik für Gastroenterologie und interventionelle Endoskopie, Krankenhaus Barmherzige Brüder Regensburg, Akademisches Lehrkrankenhaus der Universität Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland.
Klinik für Allgemein- und Viszeralchirurgie, Krankenhaus Barmherzige Brüder Regensburg, Akademisches Lehrkrankenhaus der Universität Regensburg, Regensburg, Deutschland.
Internist (Berl). 2015 Oct;56(10):1191-5. doi: 10.1007/s00108-015-3799-4.
Differential diagnostic aspects of colon stenoses are discussed using the example case of a female patient presenting with multilocular colon metastases, who had lobular breast cancer 9 years previously. Typical is linitis plastica, which can indicate tumorous infiltration not only of the stomach, but also of the large intestine. Other endoscopic imaging and histological studies may, however, fail. The pathologist requires the anamnestic data relating to the breast cancer for exact assignment of the tumorous infiltration.
以一名患有多房性结肠转移瘤的女性患者为例,讨论结肠狭窄的鉴别诊断问题,该患者9年前曾患小叶性乳腺癌。典型的是皮革胃,它不仅可提示胃部肿瘤浸润,也可提示大肠肿瘤浸润。然而,其他内镜成像和组织学检查可能无法确诊。病理学家需要乳腺癌的既往病史数据,以便准确判断肿瘤浸润情况。