A CASE OF SMALL BOWEL METASTASIS OF BREAST CANCER PRESENTED WITH ILEUS

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  • イレウスにて発症した乳癌小腸転移の１例

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Abstract

A 73-year-old woman was seen at the hospital because of abdominal pain. There were previous histories of undergoing a radical mastectomy for right breast cancer at the age of 58, a laparotomic cholecystectomy for cholelithiasis at the age of 63, a partial pneumonectomy for lung metastasis of breast cancer at the age of 67, and an extended total hysterectomy for uterine cancer at the age of 70. The patient was admitted to the hospital with a diagnosis of adhesive ileus on February 4, 2001. Ileus symptoms were almost relieved by a long tube, but a 2cm narrowing covering the entire ileum at the ileocecal region was disclosed on imaging methods. A tumor of the small intestine at the ileocecal region was diagnosed and an ileocecal excision was performed on March 8. Histopathological study revealed that the tumor was small bowel metastasis of breast cancer.<br>A study of 135 autopsied cases of breast cancer with metastasis had reported that gastrointestinal metastasis accounted for 8.9% of all metastasis of breast cancer. Small bowel metastasis of breast cancer has hardly posed clinical problems so that this case is thought to be very rare.

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