早期胃癌として手術したが乳癌の胃および空腸への転移の1例

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  • A CASE OF BREAST CANCER WITH METASTASIS TO THE STOMACH AND JEJUNUM

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A 41-year-old woman was admitted to the hospital because of suspected gastric cancer that was pointed out at a health screening test when two small ulcer lesions were revealed on upper gastrointestinal endoscopy. The patient was asymptomatic. There was previous history of undergoing a modified radical mastectomy with postoperative chemotherapy for a right breast cancre 14 months befor. After admission a preoperative biopsy disclosed poorly differentiated adenocarcinoma and she was operated on.<br> Operative finding included one lesion in the jejunum other than the stomach and the swelling of paraaortic lymph nodes. Distal gastrectomy and partial wedge resection of the jejunum were carried out. Pathological examination of the surgical specimens revealed solid tubular adenocarcinoma in each lesion, therby the diagnosis of metastasis of brest cancer to the stomach and jejunm was made.<br> Though it has been reported that breast cancer rarely metastasizes to the stomach and jejunum, breast cancer frequently metastasize to various organs, by nature. Entertaining the fact, we have to check up other organs including the gastrointestinal tract during a long postoperative course of the patients with breast cancer.

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