A CASE OF COLON METASTASIS FROM INVASIVE LOBULAR CARCINOMA OF THE BREAST

• KANEKO Kazuhiro

  Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences

• TOMITA Hiroshi

  Department of Surgery, Niigata Prefectural Sakamachi Hospital

• MAKINO Haruhiko

  Department of Surgery, Niigata Prefectural Sakamachi Hospital

• HATAKEYAMA Katsuyoshi

  Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences

Bibliographic Information

Other Title

• 大腸転移をきたした乳腺浸潤性小葉癌の１例

Abstract

Colon metastasis from breast cancer is extremely rare. We report herein a case of colon metastasis from invasive lobular carcinoma of the breast. A 45-year-old woman was seen at the hospital because of abdominal pain and vomiting, and was diagnosed as having intestinal obstruction. Both radiological and endoscopic examinations revealed complete stenosis of the descending colon. Although no malignancy was detected in the biopsy specimens, laparotomy was performed under a diagnosis of primary or metastatic colon cancer. Besides tumors of the descending colon, multiple tumors of the intestine, lymph node metastasis and disseminated diseases were seen. Radical surgery was considered impossible so that palliative resection of the colon was performed to release intestinal obstruction. Immunohistochemical studies confirmed that the tumor was colon metastasis from breast cancer. Hormonal therapy was initiated, with a resultant SD. She is alive, as of 9 months after the operation. The onset of abdominal symptoms in a patient with a history of breast cancer should prompt the physician to rule out the possibility of intestinal metastases. Surgery combined with hormonal therapy and/or chemotherapy may result in long-term remission, if intestinal metastases have occurred.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (6), 1237-1242, 2006

  Japan Surgical Association

Keywords

• 乳癌
• 浸潤性小葉癌
• 転移性大腸癌

Details

• CRID: 1390282679826195328
• NII Article ID: 130003605043
• NII Article ID: 10018199378
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.1237
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/6/67_6_1237/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006269057
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed