Seymour Nicky Claire, Rathinaezhil Rathi
Breast Dis. 2017;37(1):33-35. doi: 10.3233/BD-160249.
A 46-year-old female presented with an inflamed and painful umbilicus. Past medical history included breast cancer, followed by metastatic sternal cancer two years after the initial breast cancer diagnosis.The painful umbilicus was confirmed metastasis from a primary breast cancer she had treated eleven years previously.Metastases to the umbilicus are rare, and are usually gastrointestinal in origin. To our knowledge this is the first report of a metastasis from any primary cancer to the umbilicus after transverse rectus abdominis myocutaneous flap (TRAM). Any lesion at any stage after treatment for breast cancer should be viewed with suspicion of recurrence and investigated and treated appropriately.
一名46岁女性因脐部发炎疼痛前来就诊。既往病史包括乳腺癌，在初次诊断乳腺癌两年后出现转移性胸骨癌。疼痛的脐部被证实是她11年前接受治疗的原发性乳腺癌转移所致。脐部转移罕见，通常起源于胃肠道。据我们所知，这是首例腹直肌肌皮瓣（TRAM）术后任何原发性癌症转移至脐部的报告。乳腺癌治疗后任何阶段出现的任何病变都应怀疑有复发，并进行适当的检查和治疗。
