Colonic metastasis from breast carcinoma: a case report
| Autor: | Yasukatsu Takushi, Kiyoshi Chinen, Akira Gakiya, Tsuyoshi Teruya, Kazuma Tsujimura, Morihito Ota, Eijirou Dakeshita, Hiroshi Shiroma, Kouji Iha, Masaya Kiyuna, Masaya Asato, Kuniki Higa, Atsushi Nakachi, Junko Higa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Positron emission tomography-computed tomography Breast carcinoma lcsh:Surgery Case Report Breast Neoplasms lcsh:RC254-282 03 medical and health sciences 0302 clinical medicine Breast cancer Signet ring cell carcinoma medicine Carcinoma Ascending colon Humans 030212 general & internal medicine Colonic metastasis skin and connective tissue diseases business.industry lcsh:RD1-811 Colonoscopy Middle Aged lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Prognosis Metastatic breast cancer Primary tumor digestive system diseases Carcinoma Lobular Oncology 030220 oncology & carcinogenesis Invasive lobular carcinoma Colonic Neoplasms Surgery Female Radiology business Tomography X-Ray Computed Carcinoma Signet Ring Cell |
| Zdroj: | World Journal of Surgical Oncology World Journal of Surgical Oncology, Vol 15, Iss 1, Pp 1-6 (2017) |
| ISSN: | 1477-7819 |
| Popis: | Background Colonic metastasis from breast carcinoma is very rare. Here, we report a case of colonic metastasis from breast carcinoma. Case presentation The patient was a 51-year-old woman. She had upper abdominal pain, vomiting, and diarrhea, repeatedly. We performed abdominal contrast-enhanced computed tomography (CT) to investigate these symptoms. The CT scan revealed a tumor in the ascending colon with contrast enhancement and showed an expanded small intestine. For further investigation of this tumor, we performed whole positron emission tomography-computed tomography (PET-CT). The PET-CT scan revealed fluorodeoxyglucose uptake in the ascending colon, mesentery, left breast, and left axillary region. Analysis of biopsy samples obtained during colonoscopy revealed signet ring cell-like carcinoma. Moreover, biopsy of the breast tumor revealed invasive lobular carcinoma. Therefore, the preoperative diagnosis was colonic metastasis from breast carcinoma. Open ileocecal resection was performed. The final diagnosis was multiple metastatic breast carcinomas, and the TNM classification was T2N1M1 Stage IV. Conclusions We presented a rare case of colonic metastasis from breast carcinoma. PET-CT may be useful in the diagnosis of metastatic breast cancer. When analysis of biopsy samples obtained during colonoscopy reveals signet ring cell-like carcinoma, the possibility of breast cancer as the primary tumor should be considered. |
| Databáze: | OpenAIRE |
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