腸管転移をきたした乳癌の1例

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  • A CASE OF BREAST CANCER CAUSING INTESTINAL METASTASES

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A 45-year-old woman with a previous history of undergoing a modified radical mastectomy with adjuvant chemotherapy for a right breast cancer in February 1992 was admitted to the hospital because of lower ab-dominal pain and vomiting in July 1997. Barium enema and endoscopic examination revealed multiple stenoses of the colon. On laparotomy, these tumors were found not only in the colon but also in the small intes-tine. A right hemicolectomy, a partial resection of the small intestine, and a sigmoid colostomy were per-formed. Pathological findings showed metastases from the breast cancer. After 6 courses of adjuvant CMF chemotherapy, she is alive 10 months after the operation. It has been reported that gastrointestinal metastases represent 8.9% of all metastases from breast cancer in 135 autopsied cases, but we rarely encounter such a case of gastrointestinal metastases clinically.

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