Kasuga Y, Senga O, Hanamura N, Iida F, Oota H, Katsuyama T, Tsuchiya S
Gan No Rinsho. 1986 Apr;32(4):407-12.
The patient was a 48-year-old woman who had undergone radical surgery for gastric carcinoma in 1981. Seventeen months after the operation, recurrence of gastric carcinoma at the anastomotic stoma was found, and total gastrectomy was performed. Fourteen months after the second operation, she was revealed to have bilateral breast tumors and underwent exploratory excision. Histological examination suggested primary malignant tumor of the breast. Bilateral standard radical mastectomy was done seven days after the excision. Final histological examination revealed metastatic breast cancer originating from the stomach. She died from general metastasis seven months after the radical mastectomy in spite of adjuvant immunochemotherapy.
该患者为一名48岁女性，于1981年接受了胃癌根治手术。术后17个月，发现吻合口处胃癌复发，遂行全胃切除术。第二次手术后14个月，发现她双侧乳房有肿瘤，并接受了探查性切除。组织学检查提示为原发性乳腺恶性肿瘤。切除术后7天进行了双侧标准根治性乳房切除术。最终组织学检查显示为源自胃部的转移性乳腺癌。尽管进行了辅助免疫化疗，但在根治性乳房切除术后7个月，她因全身转移而死亡。
