Stefanopoulos Anastasios, Telakis Emmanouil, Zlatinoudis Charalampos, Theodoulou Aggelos, Tzaida Olympia, Filippakou Aikaterini, Tsironi Eftychia
Department of Gastroenterology, "Metaxa" Cancer Hospital of Piraeus, Piraeus, Greece.
Department of Pathology, "Metaxa" Cancer Hospital of Piraeus, Piraeus, Greece.
ACG Case Rep J. 2023 Jun 10;10(6):e01077. doi: 10.14309/crj.0000000000001077. eCollection 2023 Jun.
Metastatic lesions to the colon are far less common than primary tumors. Breast cancer metastasis to the colon is rarely reported, and it is often atypical in presentation and difficult to diagnose. We present a case of a diminutive asymptomatic breast cancer metastasis to the colon found during surveillance colonoscopy in a patient with long-lasting ulcerative colitis, which was initially regarded as a colitis-associated dysplastic lesion. Because early detection of metastatic disease plays a key role in the treatment of patients with breast cancer, a high index of suspicion must be maintained for atypical metastatic presentations to the gastrointestinal tract.
结肠转移瘤远比原发性肿瘤少见。乳腺癌转移至结肠的情况鲜有报道，其表现往往不典型，诊断困难。我们报告一例在长期溃疡性结肠炎患者的结肠镜检查监测中发现的微小无症状性乳腺癌结肠转移病例，该病例最初被认为是结肠炎相关的发育异常病变。由于转移性疾病的早期检测在乳腺癌患者的治疗中起着关键作用，因此对于胃肠道非典型转移表现必须保持高度怀疑。
