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一例罕见的乳腺癌同时发生胃和结肠转移的病例。

An uncommon case of synchronous gastric and colonic metastases from breast cancer.

作者信息

Ben Kridis Wala, Lajnef Mayssa, Fki Ameni, Belaid Laila, Khanfir Afef

机构信息

Department of Medical Oncology Habib Bourguiba Hospital University of Sfax Sfax Tunisia.

Department of Pathology Tahar Sfar Hospital Mahdia Sfax Tunisia.

出版信息

JGH Open. 2022 Jul 7;6(8):587-589. doi: 10.1002/jgh3.12784. eCollection 2022 Aug.

DOI:10.1002/jgh3.12784
PMID:35928700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9344578/
Abstract

Invasive lobular carcinoma is the second-most-common subtype of breast cancer. It is characterized by a different metastatic pattern with a propensity to metastasize to pleura, peritoneum, gastrointestinal tract, and ovary. We report a woman with known metastatic disease outside the gastrointestinal tract who had endoscopy and colonoscopy for gastrointestinal symptoms. Extensive metastases were found in the stomach and colon with a diffuse infiltration of signet ring-like cells at histology and immunohistochemical findings consistent with breast carcinoma. To the best of our knowledge, this is the first report of such a case from Africa.

摘要

浸润性小叶癌是乳腺癌的第二常见亚型。其特点是转移模式不同,倾向于转移至胸膜、腹膜、胃肠道和卵巢。我们报告一名已知有胃肠道外转移疾病的女性,因胃肠道症状接受了内镜检查和结肠镜检查。在胃和结肠发现广泛转移,组织学检查显示印戒样细胞弥漫浸润,免疫组化结果符合乳腺癌。据我们所知,这是来自非洲的此类病例的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d951/9344578/9413eb8a6d0d/JGH3-6-587-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d951/9344578/14f579388d80/JGH3-6-587-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d951/9344578/9413eb8a6d0d/JGH3-6-587-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d951/9344578/14f579388d80/JGH3-6-587-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d951/9344578/9413eb8a6d0d/JGH3-6-587-g001.jpg

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本文引用的文献

1
Colorectal and gastric metastases from lobular breast cancer that resembled superficial neoplastic lesions.从乳腺小叶癌转移而来的结直肠和胃转移瘤,类似于表浅肿瘤病变。
Clin J Gastroenterol. 2021 Feb;14(1):103-108. doi: 10.1007/s12328-020-01285-3. Epub 2020 Nov 7.
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Breast cancer statistics, 2019.乳腺癌统计数据,2019 年。
CA Cancer J Clin. 2019 Nov;69(6):438-451. doi: 10.3322/caac.21583. Epub 2019 Oct 2.
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Secondary metastatic lesions to colon and rectum.结肠和直肠的继发性转移病灶。
Ann Gastroenterol. 2018 May-Jun;31(3):282-287. doi: 10.20524/aog.2018.0244. Epub 2018 Mar 3.
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Colonic metastasis from breast carcinoma: a case report.乳腺癌结肠转移:一例报告
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