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胰腺转移性小叶性乳腺癌：一例报告

Metastatic lobular breast carcinoma to the pancreas: a case report.

作者信息

Zammit Andrew, James Daniel, Van Rooyen Petrus Henk

机构信息

Department of General Surgery, Hervey Bay Hospital, Queensland, Australia.

Department of Pathology, Royal Brisbane and Women's Hospital, Queensland, Australia.

出版信息

J Surg Case Rep. 2018 May 29;2018(5):rjy111. doi: 10.1093/jscr/rjy111. eCollection 2018 May.

DOI:10.1093/jscr/rjy111
PMID:29977508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6007369/
Abstract

We report a case of a 72-year-old female, with an extensive breast cancer history, who presented with abdominal pain to her general practitioner. Cross-sectional imaging demonstrated a lesion in the head of pancreas, which was not amenable to curative resection. Percutaneous biopsy was obtained, which demonstrated metastatic lobular breast cancer. This rare case highlights how previous medical histories may assist in final pathological diagnosis.

摘要

我们报告了一例72岁女性患者，她有广泛的乳腺癌病史，因腹痛前往全科医生处就诊。横断面成像显示胰腺头部有一个病变，无法进行根治性切除。进行了经皮活检，结果显示为转移性小叶乳腺癌。这个罕见的病例凸显了既往病史如何有助于最终的病理诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/fc09de906404/rjy111f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/22fecc77fbd7/rjy111f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/fce4bc080eb5/rjy111f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/2bb817b26659/rjy111f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/fc09de906404/rjy111f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/22fecc77fbd7/rjy111f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/fce4bc080eb5/rjy111f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/2bb817b26659/rjy111f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/6007369/fc09de906404/rjy111f04.jpg

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本文引用的文献

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Billiary obstruction in a metastatic tumor of the pancreas from breast cancer.乳腺癌胰腺转移瘤导致的胆管梗阻
South Asian J Cancer. 2017 Jan-Mar;6(1):10. doi: 10.4103/2278-330X.202567.
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Lobular breast cancer: incidence and genetic and non-genetic risk factors.小叶性乳腺癌：发病率及遗传和非遗传风险因素
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GATA3: a promising marker for metastatic breast carcinoma in serous effusion specimens.GATA3：浆膜腔积液标本中转移性乳腺癌有前途的标志物。
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Metastasis to the Pancreas from Breast Cancer: Difficulties in Diagnosis and Controversies in Treatment.乳腺癌转移至胰腺：诊断难点与治疗争议
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Infiltrating lobular carcinoma of the breast: tumor characteristics and clinical outcome.乳腺浸润性小叶癌：肿瘤特征与临床结局
Breast Cancer Res. 2004;6(3):R149-56. doi: 10.1186/bcr767. Epub 2004 Feb 17.
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Biliary and pancreatic metastases of breast carcinoma: is surgical palliation indicated?乳腺癌的胆管和胰腺转移：是否需要进行手术姑息治疗？
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