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弥漫性转移性小叶乳腺癌所致腹泻

Diarrhoea Caused by Diffuse Metastatic Lobular Breast Cancer.

作者信息

Bakker Sjoerd F, Moolenaar Willem, van Santen Marije M, Hendriks Mathijs P

机构信息

Department of Gastroenterology and Hepatology, Northwest Clinics, Wilhelminalaan 12, 1815 JD Alkmaar, Netherlands.

Department of Pathology, Northwest Clinics, Wilhelminalaan 12, 1815 JD Alkmaar, Netherlands.

出版信息

Case Rep Oncol Med. 2016;2016:1785409. doi: 10.1155/2016/1785409. Epub 2016 May 22.

DOI:10.1155/2016/1785409
PMID:27313924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4893423/
Abstract

A 70-year-old woman with a history of lobular breast cancer presented to our Outpatient Clinic with diarrhoea for the past 3 years. Clinical examination and laboratory research were normal. Colonoscopy showed diffuse mild erythema and a decreased vascular pattern. Biopsies from the ascending colon, transverse colon, and descending colon showed metastases of lobular breast carcinoma. Although gastrointestinal metastases are rare in breast cancer, our case emphasizes the need for further diagnostic efforts in patients with gastrointestinal symptoms and a history of breast carcinoma.

摘要

一名有小叶性乳腺癌病史的70岁女性因过去3年的腹泻症状前来我们的门诊就诊。临床检查和实验室检查均正常。结肠镜检查显示弥漫性轻度红斑和血管纹理减少。升结肠、横结肠和降结肠的活检显示为小叶性乳腺癌转移。虽然胃肠道转移在乳腺癌中很少见，但我们的病例强调了对于有胃肠道症状且有乳腺癌病史的患者需要进一步进行诊断检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddda/4893423/0781a8917260/CRIONM2016-1785409.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddda/4893423/87c8913ed6fe/CRIONM2016-1785409.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddda/4893423/0781a8917260/CRIONM2016-1785409.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddda/4893423/87c8913ed6fe/CRIONM2016-1785409.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddda/4893423/0781a8917260/CRIONM2016-1785409.002.jpg

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本文引用的文献

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An unusual case of colonic adenocarcinoma development in the region of disseminating lobular breast carcinoma infiltration: diagnostic approach and review of the literature.弥漫性小叶型乳腺癌浸润区域发生结肠腺癌的罕见病例：诊断方法及文献综述
Int J Clin Exp Pathol. 2015 Jun 1;8(6):7470-4. eCollection 2015.
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Synchronous gist, colon and breast adenocarcinoma with double colonic polyp metastases.同时性原发性肿瘤，结肠和乳腺腺癌伴双发性结肠息肉转移。
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Gastrointestinal manifestations of breast cancer metastasis.
乳腺癌转移的胃肠道表现。
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