Colonic metastasis from infiltrating ductal breast carcinoma in a male patient: A case report

Jones, Ashley Blackmon; Kocher, Madison; Justice, Ashlee; Navarro, Fernando A.

doi:10.1016/j.ijscr.2018.11.019

Cited by 6 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This patient in our case had focal thickened ascending colon with soft tissue mass formation mimicking a colon carcinoma. Similar image signs should consider the possibility of metastasis, 11 inflammatory pseudotumor, 12 tuberculosis, 13 and lymphoma 14 . This case hints us, although rare, Castleman disease should be considered as a differential diagnosis when we notice a hypermetabolic colon mass on PET/CT.…”

mentioning

confidence: 65%

Colonic Castleman Disease on FDG PET/CT

Liu

Cai

et al. 2022

Clin Nucl Med

View full text Add to dashboard Cite

Colonic Castleman disease is very rare. We report FDG PET/CT findings of colonic Castleman disease in a 72-year-old man. On FDG PET/ CT, it presented as a colonic soft tissue mass with intense FDG uptake. The final pathology supported a diagnosis of Castleman disease, plasma cell variant. This case hints us, although rare, Castleman disease should be considered as a differential diagnosis when we notice a hypermetabolic colon mass on PET/CT.

show abstract

mentioning

confidence: 65%

Colonic Castleman Disease on FDG PET/CT

Liu

Cai

et al. 2022

Clin Nucl Med

View full text Add to dashboard Cite

show abstract

“…Moreover, according to a case series of 12 001 patients, 11% of breast cancer metastasis to GI was not diagnosed until an exploratory laparotomy was performed [15]. Besides, Ashley [22]thought surgical resection and histopathology are mandatory for diagnosis considering that colonoscopy biopsies may only capture normal mucosa. Some authors recommended more biopsies if the initial endoscopic result was negative and that it would yield a better diagnosis if assisted by endoscopic ultrasound-assisted fine needle aspiration [23].…”

Section: Discussionmentioning

confidence: 99%

Rare Metastases in Colorectum of Infiltrating Ductal Breast Cancer: A Rare Case Report and Review

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Breast ductal carcinoma hardly metastasizes to colorectum and the effect of surgery is controversial. We treated one case of patients with breast ductal carcinoma metastasizes to colorectum with surgery and discussed current management experience of breast cancer metastasizing to colorectum by reviewing the literature. Case Presentation: A 37-year-old woman underwent a modified radical mastectomy three years ago for right breast cancer and developed left breast cancer with right breast cancer suspiciously metastasizing to colorectum, left ovary along with oviduct, pancreas, and left acetabulum according to positron emission tomography-computed tomography. Then she had chosen to give up further therapy but was admitted to our department complaining of shapeless feces and mucus pus and blood in stool for 2 years with the process of aggravating symptoms for recent 2 months. Colonoscopy revealed the existence of colorectal carcinoma. She received laparoscopic combined abdominal perineal resection and bilateral ovarian salpingectomy. Postoperative pathology as well as immunohistochemistry supported the origin of primary breast infiltrating ductal cancer. She remained tamoxifen therapy and was alive until she was lost to follow-up.Conclusions: Clinicians must pay attention to any gastro-intestinal symptoms of patients with a medical history of breast cancer since the incipient symptoms of breast cancer metastasis to colorectum are insidious. Definite diagnosis may be difficult even by endoscopy. Surgery should be considered as a therapeutic option and definite diagnostic means combined with immunohistochemistry.

show abstract

“…The patients with digestive tract metastasis of breast cancer usually have no specific symptoms, as we summarized in Table 1, the most common symptoms include dyspepsia, nausea, changes of stool frequency (10), vomiting (11), abdominal pain (12), obstruction (13), loss of weight (14), and loss of appetite (20). Some were found during regular follow-up (15)(16)(17)(18)(19). Endoscopic findings are non-specific (21)(22)(23).…”

Section: What Is the Implication And What Should Change Now?mentioning

confidence: 99%

Ascending colon metastasis after breast cancer surgery: a case report and literature review

Jia¹,

Huang²,

Li³

2023

Gland Surg

View full text Add to dashboard Cite

Background: Breast cancer is the most common cancer in women. The tumor is prone to metastasize in the brain, lung, liver, bone, and other organs; however, generally, it is less likely to metastasize in the digestive tract. Thus, breast cancer metastasizes to colon is rarely happened and easily ignored by clinicians. Such misdiagnosis may lead to delay the further diagnosis and treatment of patients, or even cause the life danger of patients due to the progress of the disease. Therefore, we propose such case reports to arouse clinicians' attention to the rare case of digestive tract metastasis after treatment of breast cancer. We also conducted a retrospective analysis of the relevant case reports. We suggest that because breast cancer with gastrointestinal metastasis rarely occurs, and because of the lack of specificity of syndromes, it is easily misdiagnosed. Thus, the attention of the receiving doctor needs to be drawn to this tumor. We also summarized the specificity and sensitivity of the commonly used immunohistochemical detection indicators of digestive tract metastasis of breast cancer.Case Description: We presented a 67-year-old female went to hospital because of "acute pain in the right lower abdomen", after computed tomography (CT) examination, the patient was diagnosed as "acute appendicitis" and underwent laparoscopic appendectomy (LA), the post-surgery pathology confirmed metastatic carcinoma to the appendix from the breast that was removed 10 years early. The patient first came to our hospital 10 years ago because of the right breast malignant tumor. After modified radical mastectomy for right breast cancer, the patient underwent chemotherapy for 6 cycles. Tamoxifen endocrine therapy was administered after chemotherapy. The patient had a regular follow-up, with no signs of distant metastasis and local recurrence.Conclusions: Metastasis from breast cancer to the gastrointestinal tract is extremely rare. For patients with breast cancer, endoscopy should be adopted as a routine follow-up item. For suspicious lesions found under endoscopy, immunohistochemistry stain should be adopted to ensure the diagnosis. For lesions that are confirmed to be metastatic from breast cancer, proper treatment should be carried out based on patients' condition to improve the prognosis.

show abstract

Colonic metastasis from infiltrating ductal breast carcinoma in a male patient: A case report

Cited by 6 publications

References 8 publications

Colonic Castleman Disease on FDG PET/CT

Colonic Castleman Disease on FDG PET/CT

Rare Metastases in Colorectum of Infiltrating Ductal Breast Cancer: A Rare Case Report and Review

Ascending colon metastasis after breast cancer surgery: a case report and literature review

Contact Info

Product

Resources

About