Singh Aagamjit, Gill Inayat, Aggarwal Nishant, Patel Atulkumar
Corewell Health East William Beaumont University Hospital, Royal Oak, MI.
Section of Gastroenterology and Hepatology, Corewell Health East William Beaumont University Hospital, Royal Oak, MI.
ACG Case Rep J. 2025 Jul 7;12(7):e01761. doi: 10.14309/crj.0000000000001761. eCollection 2025 Jul.
Gastric metastasis from breast cancer is often difficult to diagnose due to nonspecific symptoms and variable endoscopic findings. We report a case of a 64-year-old woman with a long history of stable metastatic breast cancer to the spine who presented with new-onset weight loss and nausea. Cross-sectional imaging was negative for cancer spread to the gastrointestinal tract. She was found to have biopsy-proven breast cancer cells in the stomach, despite the absence of gastric lesions in a follow-up positron emission tomography scan. Apart from minimal gastritis, there were no visible nodules, ulcers, or features of linitis plastica on endoscopy.
由于症状不具特异性且内镜检查结果多变，乳腺癌胃转移往往难以诊断。我们报告一例64岁女性病例，该患者有脊柱稳定转移的乳腺癌病史，此次出现新发体重减轻和恶心症状。横断面成像未发现癌症扩散至胃肠道。尽管后续正电子发射断层扫描未发现胃部病变，但经活检证实其胃内存在乳腺癌细胞。内镜检查除发现轻微胃炎外，未见明显结节、溃疡或皮革胃特征。
