Le Bouedec G, Kauffmann P, Darcha C, de Latour M, Fondrinier E, Dauplat J
Service de Chirurgie, Centre Jean Perrin, Clermont-Ferrand.
Ann Chir. 1993;47(4):342-7.
Eight patients with intestinal metastases from breast cancer are described. The different clinical presentations and pathological types are studied. The difficulty in distinguishing such uncommon secondary sites of breast cancer from primary intestinal cancer is emphasized. Attention should be paid to intestinal symptoms in women with a history of infiltrating lobular breast cancer: in agreement with recent literature data the lobular type seems mainly responsible for gastrointestinal and peritoneal involvement originating from breast cancer (7 cases out of 8 in our series). Prolonged survival could be obtained if no metastases elsewhere were found with appropriate treatment including ablative surgery, chemotherapy and hormonotherapy.
本文描述了8例乳腺癌肠道转移患者。研究了不同的临床表现和病理类型。强调了将这种罕见的乳腺癌转移部位与原发性肠癌区分开来的困难。对于有浸润性小叶乳腺癌病史的女性,应注意肠道症状:与近期文献数据一致,小叶型似乎是乳腺癌引起胃肠道和腹膜转移的主要原因(我们系列中的8例中有7例)。如果通过包括手术切除、化疗和激素治疗在内的适当治疗未发现其他部位转移,则可延长生存期。