Metastatic nonpalpable invasive lobular breast carcinoma presenting as rectal stenosis: A case report

被引：11

作者：

Osaku T. ^{[1
]}

Ogata H. ^{[1
]}

Magoshi S. ^{[1
]}

Kubota Y. ^{[1
]}

Saito F. ^{[1
]}

Kanazawa S. ^{[1
]}

Kaneko H. ^{[1
]}

机构：

[1] Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo

来源：

Journal of Medical Case Reports | / 9卷 / 1期

关键词：

Breast cancer; Carcinomatous peritonitis; Invasive lobular carcinoma;

D O I：

10.1186/s13256-015-0568-x

中图分类号：

学科分类号：

摘要：

Introduction: Invasive lobular carcinomas have an increased propensity for distant metastases, particularly to the peritoneum, ovaries, and uterus. In contrast, distant metastases of nonpalpable lobular carcinomas are extremely rare, and the causes of underlying symptoms of primary carcinomas remain unclear. We report a case of an asymptomatic invasive lobular carcinoma with a primary mammary lesion in a patient with rectal stenosis. Case presentation: A 69-year-old Japanese woman presented to our hospital for treatment of constipation. Although rectal stenosis was confirmed, thorough testing of her lower digestive tract did not identify its cause. Thus, an exploratory laparotomy and tissue biopsy was performed, and the presence of an invasive lobular carcinoma was confirmed. Subsequent breast examinations showed that the invasive lobular carcinoma that led to the rectal stenosis was a metastatic lesion from a primary lesion of the breast duct. As the present breast lobular carcinoma was asymptomatic and nonpalpable, we did not initially consider metastatic breast cancer as a cause of her symptoms, and the final diagnosis was delayed. Conclusions: Peritoneal metastasis from nonpalpable invasive lobular carcinomas is very rare. However, breast cancer metastasis should be considered when carcinomatous peritonitis is present in a patient with an unknown primary cancer. © 2015 Osaku et al.; licensee BioMed Central.

引用

共 17 条

[1]

Harris M., Howell A., Chrissohou M., Swindell R.I., Hudson M., Sellwood R.A., A comparison of the metastatic pattern of infiltrating lobular carcinoma and infiltrating duct carcinoma of the breast, Br J Cancer., 50, pp. 23-30, (1984)

[2]

McLemore E.C., Pockaj B.A., Reynolds C., Gray R.J., Hernandez J.L., Grant C.S., Et al., Breast cancer: Presentation and intervention in women with gastrointestinal metastasis and carcinomatosis, Ann Surg Oncol., 12, pp. 886-894, (2005)

[3]

Sobinsky J.D., Willson T.D., Podbielski F.J., Connolly M.M., Unusual metastatic patterns of invasive lobular carcinoma of the breast, Case Rep Oncol Med., 2013, (2013)

[4]

Saranovic D., Kovac J.D., Knezevic S., Susnjar S., Stefanovic A.D., Saranovic D.S., Et al., Invasive lobular breast cancer presenting an unusual metastatic pattern in the form of peritoneal and rectal metastases: A case report, J Breast Cancer., 14, pp. 247-250, (2011)

[5]

Arrangoiz R., Papavasiliou P., Dushkin H., Farma J.M., Case report and literature review: Metastatic lobular carcinoma of the breast an unusual presentation, Int J Surg Case Rep., 2, pp. 301-305, (2011)

[6]

Yousef G.M., Gabril M.Y., Al-Haddad S., Mulligan A.M., Honey R.J., Invasive lobular carcinoma of the breast presenting as retroperitoneal fibrosis: A case report, J Med Case Rep., 4, (2010)

[7]

Franceschini G., Manno A., Mule A., Verbo A., Rizzo G., Sermoneta D., Et al., Gastro-intestinal symptoms as clinical manifestation of peritoneal and retroperitoneal spread of an invasive lobular breast cancer: Report of a case and review of the literature, BMC Cancer., 6, (2006)

[8]

Nikkar-Esfahani A., Kumar B.G., Aitken D., Wilson R.G., Metastatic breast carcinoma presenting as a sigmoid stricture: Report of a case and review of the literature, Case Rep Gastroenterol., 7, pp. 106-111, (2013)

[9]

Ciulla A., Castronovo G., Tomasello G., Maiorana A.M., Russo L., Daniele E., Et al., Gastric metastases originating from occult breast lobular carcinoma: Diagnostic and therapeutic problems, World J Surg Oncol., 6, (2008)

[10]

Razzetta F., Tassara E., Saro F., Sironi M., D'Ambrosio G., Rare abdominal metastases from occult lobular breast cancer: Report of two cases, Updates Surg, 63, 2, pp. 129-133, (2011)

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