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Gastric metastasis from invasive lobular breast cancer, mimicking primary gastric cancer: A case report.

Abstract Gastric metastasis from invasive lobular breast cancer is relatively rare, commonly presented among multiple metastases, several years after primary diagnosis of breast cancer. Importantly, gastric cancer that is synchronously presented with lobular breast cancer can be misdiagnosed as primary gastric cancer; therefore, accurate differential diagnosis is required.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




 
PMID- 29595684
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20180411
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 13
DP  - 2018 Mar
TI  - Gastric metastasis from invasive lobular breast cancer, mimicking primary gastric
      cancer: A case report.
PG  - e0258
LID - 10.1097/MD.0000000000010258 [doi]
AB  - RATIONALE: Gastric metastasis from invasive lobular breast cancer is relatively
      rare, commonly presented among multiple metastases, several years after primary
      diagnosis of breast cancer. Importantly, gastric cancer that is synchronously
      presented with lobular breast cancer can be misdiagnosed as primary gastric
      cancer; therefore, accurate differential diagnosis is required. PATIENT CONCERNS:
      A 39-year-old woman was visited to our hospital because of right breast mass and 
      progressive dyspepsia. DIAGNOSES: Invasive lobular carcinoma of breast was
      diagnosed on core needle biopsy. Gastroscopy revealed a diffuse scirrhous mass at
      the prepyloric antrum and diagnosed as poorly differentiated adenocarcinoma on
      biopsy. Synchronous double primary breast and gastric cancers were considered.
      Detailed pathological analysis focused on immunohistochemical studies of selected
      antibodies, including those of estrogen receptors, gross cystic disease fluid
      protein-15, and caudal-type homeobox transcription factor 2, were studied. As a
      result, gastric lesion was diagnosed as metastatic gastric cancer originating
      from breast. INTERVENTIONS: Right breast conserving surgery was performed, and
      duodenal stent was inserted under endoscopic guidance to relieve the patient's
      symptoms. Systemic chemotherapy with combined administration of paclitaxel and
      trastuzumab was initiated. OUTCOMES: Forty-one months after the diagnosis, the
      patient is still undergoing the same therapy. No recurrent lesion has been
      identified in the breast and evidence of a partial remission of gastric wall
      thickening has been observed on follow-up studies without new metastatic lesions.
      LESSONS: Clinical suspicion, repeat endoscopic biopsy, and detailed histological 
      analysis, including immunohistochemistry, are necessary for diagnosis of
      metastatic gastric cancer from the breast.
FAU - Kim, Dae Hoon
AU  - Kim DH
AD  - Department of Surgery.
FAU - Son, Seung-Myoung
AU  - Son SM
AD  - Department of Pathology, Chungbuk National University Hospital, Chungbuk National
      University College of Medicine, Cheongju, Republic of Korea.
FAU - Choi, Young Jin
AU  - Choi YJ
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Breast Neoplasms/*pathology/therapy
MH  - Carcinoma, Lobular/*pathology
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Stomach Neoplasms/*diagnosis/*secondary
EDAT- 2018/03/30 06:00
MHDA- 2018/04/12 06:00
CRDT- 2018/03/30 06:00
PHST- 2018/03/30 06:00 [entrez]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
AID - 10.1097/MD.0000000000010258 [doi]
AID - 00005792-201803300-00057 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(13):e0258. doi: 10.1097/MD.0000000000010258.