Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation

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Gastrointestinal metastases are rare. May occur years after initial diagnosis and its symptoms are nonspecific, delaying its correct diagnosis and aggravating its prognosis. The most common histological subtype is lobular breast carcinoma. We present a 75-year-old woman with history of left mastecto...

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Autores principales: Bürgesser, María Virginia, Calafat, Patricia, Diller, Ana
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2010
Materias:
tumor
metástasis
tracto gastrointestinal
metastasis
gastrointestinal tract
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/23424
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-23424
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic tumor
metástasis
tracto gastrointestinal
tumor
metastasis
gastrointestinal tract
spellingShingle tumor
metástasis
tracto gastrointestinal
tumor
metastasis
gastrointestinal tract
Bürgesser, María Virginia
Calafat, Patricia
Diller, Ana
Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
topic_facet tumor
metástasis
tracto gastrointestinal
tumor
metastasis
gastrointestinal tract
author Bürgesser, María Virginia
Calafat, Patricia
Diller, Ana
author_facet Bürgesser, María Virginia
Calafat, Patricia
Diller, Ana
author_sort Bürgesser, María Virginia
title Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
title_short Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
title_full Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
title_fullStr Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
title_full_unstemmed Colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
title_sort colonic carcinomatosis due to lobular carcinoma of the breast: unusual case presentation
description Gastrointestinal metastases are rare. May occur years after initial diagnosis and its symptoms are nonspecific, delaying its correct diagnosis and aggravating its prognosis. The most common histological subtype is lobular breast carcinoma. We present a 75-year-old woman with history of left mastectomy six years ago by infiltrating lobular carcinoma. She was treated with tamoxifen for five years. At present, there was no evidence of disease. She attended the hospital for intestinal subocclusion, being admitted for study. A barium enema revealed multiple strictures of the large bowel and a colonoscopy revealed an impassable stricture in the rectum-sigma. Due to the severity of symptoms, underwent total colectomy. The suspected diagnosis was Crohn's disease. The surgical specimen showed multiple stenosis of the light, with thickened wall and mucosa with granulations. Microscopic examination showed transmural infiltration of colonic wall by malignant cells CK7 positive and ER positive. Breast infiltrating lobular carcinoma has more special tendency to affect the digestive tract, even many years after the diagnosis of the primary tumor. In front of a patient with history of breast cancer and gastrointestinal symptoms, its mandatory to consider gastrointestinal metastases, making differential diagnosis with inflammatory bowel disease, infections or primary tumors, as the therapeutic actions are different. 
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2010
url https://revistas.unc.edu.ar/index.php/med/article/view/23424
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AT dillerana coloniccarcinomatosisduetolobularcarcinomaofthebreastunusualcasepresentation
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