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罕见病因导致的结肠梗阻：转移性浸润性导管癌转移至结肠的罕见病例。

Colonic Obstruction from an Unusual Cause: A Rare Case of Metastatic Invasive Ductal Carcinoma to the Colon.

作者信息

Katz Heather, Jafri Hassaan, Saad Rahoma, Limjoco Teresa, Tirona Maria T

机构信息

Hematology/oncology, Marshall University, Joan C. Edwards School of Medicine.

Internal Medicine, Marshall University Joan C. Edwards School of Medicine.

出版信息

Cureus. 2018 May 7;10(5):e2588. doi: 10.7759/cureus.2588.

DOI:10.7759/cureus.2588
PMID:30009102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6037340/
Abstract

Colon metastasis from breast cancer is rare. Gastrointestinal (GI) metastasis is more frequently seen in patients with invasive lobular carcinoma of the breast compared to invasive ductal carcinoma; however, the most common sites of metastasis still remain the lymph nodes, lungs, liver, and bones. We describe a 68-year-old female with a remote history of invasive ductal carcinoma of the breast who presented with abdominal pain and a palpable mass. On imaging, she was found to have a colonic obstruction and underwent a right hemicolectomy that proved to be metastatic invasive ductal carcinoma of the breast.

摘要

乳腺癌的结肠转移罕见。与浸润性导管癌相比，胃肠道转移在乳腺浸润性小叶癌患者中更常见；然而，最常见的转移部位仍然是淋巴结、肺、肝和骨。我们描述了一名68岁女性，有乳腺癌浸润性导管癌的既往史，出现腹痛和可触及肿块。影像学检查发现她有结肠梗阻，接受了右半结肠切除术，术后病理证实为乳腺转移性浸润性导管癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/b691a055434c/cureus-0010-00000002588-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/4053cbd6700e/cureus-0010-00000002588-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/c74bc164cd90/cureus-0010-00000002588-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/3800bfbf8954/cureus-0010-00000002588-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/7c073e279c9f/cureus-0010-00000002588-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/3ad8d4ef0f52/cureus-0010-00000002588-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/4bc953cfc528/cureus-0010-00000002588-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/b691a055434c/cureus-0010-00000002588-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/4053cbd6700e/cureus-0010-00000002588-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/c74bc164cd90/cureus-0010-00000002588-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/3800bfbf8954/cureus-0010-00000002588-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/7c073e279c9f/cureus-0010-00000002588-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/3ad8d4ef0f52/cureus-0010-00000002588-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/4bc953cfc528/cureus-0010-00000002588-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf3/6037340/b691a055434c/cureus-0010-00000002588-i07.jpg

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本文引用的文献

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E-cadherin immunohistochemistry in breast pathology: uses and pitfalls.乳腺病理学中的E-钙黏蛋白免疫组织化学：用途与陷阱
Histopathology. 2016 Jan;68(1):57-69. doi: 10.1111/his.12869.
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Lobular carcinoma of the breast with gastrointestinal metastasis.伴有胃肠道转移的乳腺小叶癌。
Proc (Bayl Univ Med Cent). 2015 Jan;28(1):50-3. doi: 10.1080/08998280.2015.11929185.
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Ductal carcinoma of the breast metastasizing to the rectum.乳腺导管癌转移至直肠。
乳腺癌结肠转移：病例报告及文献复习。
In Vivo. 2022 Jan-Feb;36(1):522-527. doi: 10.21873/invivo.12733.
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Widespread Metastasis to the Stomach 10 Years After Primary Breast Cancer: A case report and review of the literature.原发性乳腺癌10年后胃广泛转移：1例病例报告及文献复习
Medicine (Baltimore). 2020 Nov 25;99(48):e22527. doi: 10.1097/MD.0000000000022527.
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Screening Colonoscopy Unmasking Colonic Metastasis from an Occult Breast Ductal Carcinoma: A Case Report and Review of the Literature.筛查结肠镜检查发现隐匿性乳腺导管癌的结肠转移：一例报告并文献复习
Case Rep Oncol Med. 2019 Feb 24;2019:8432079. doi: 10.1155/2019/8432079. eCollection 2019.
J Surg Case Rep. 2012 May 1;2012(5):12. doi: 10.1093/jscr/2012.5.12.
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Metastatic infiltrating ductal carcinoma of the breast to the colon: a case report and literature review.乳腺浸润性导管癌转移至结肠：一例报告并文献复习
Case Rep Gastrointest Med. 2013;2013:603683. doi: 10.1155/2013/603683. Epub 2013 Oct 1.
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Metastatic breast carcinoma presenting as a sigmoid stricture: report of a case and review of the literature.以乙状结肠狭窄为表现的转移性乳腺癌：一例报告并文献复习
Case Rep Gastroenterol. 2013 Mar 7;7(1):106-11. doi: 10.1159/000348760. Print 2013 Jan.
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Metastatic tumors to the colon and rectum: a multi-institutional study.转移性结肠和直肠肿瘤：一项多机构研究。
Arch Pathol Lab Med. 2012 Nov;136(11):1397-401. doi: 10.5858/arpa.2011-0432-OA.
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Metastatic deposits of breast lobular carcinoma to small bowel and rectum.乳腺小叶癌转移至小肠和直肠的沉积物。
Int J Breast Cancer. 2011;2011:413949. doi: 10.4061/2011/413949. Epub 2011 Jul 26.
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Colorectal breast carcinoma metastasis diagnosed as an obstructive colonic primary tumor. A case report and review of the literature.被诊断为阻塞性结肠原发性肿瘤的结直肠癌转移。病例报告及文献综述。
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