2002
DOI: 10.1177/030089160208800517 View full text |Buy / Rent full text
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Abstract: Metastatic involvement of the upper gastrointestinal tract from breast cancer has been reported in autopsy series as occurring in more than 15% of patients, usually associated with extensive systemic spread; clinical manifestations from such metastases have been described in less than 1% of cases. Lobular infiltrating carcinoma seems to have a different metastatic pattern than the ductal type, with an apparent predilection for the gastrointestinal tract. Metastatic presentation as an isolated intestinal obstru… Show more

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“…Although many case reports have debated whether gastrointestinal and peritoneal metastases are lymphogenous or hematogenous, this point remains controversial owing to the lack of definitive evidence. As for treatment, palliative surgery is usually performed to narrow the diagnosis and ameliorate symptoms [9]. Titus et al [10] suggested that pancreatoduodenectomy prolongs survival in patients who have breast cancer with pancreatic metastasis.…”
Section: Discussionmentioning
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“…Although many case reports have debated whether gastrointestinal and peritoneal metastases are lymphogenous or hematogenous, this point remains controversial owing to the lack of definitive evidence. As for treatment, palliative surgery is usually performed to narrow the diagnosis and ameliorate symptoms [9]. Titus et al [10] suggested that pancreatoduodenectomy prolongs survival in patients who have breast cancer with pancreatic metastasis.…”
Section: Discussionmentioning
“…The intestinal obstruction is rare to be an initial presentation of invasive breast cancer without other signs [ 8 , 9 ]. Borst and Ingold study shows that less than one percentage of metastatic breast cancers had gastrointestinal metastasis and most of these cases were invasive lobular carcinoma [ 10 ].…”
Section: Discussionmentioning
“…In our case, jejunal obstruction was the first clinical sign of the lobular breast carcinoma. Importantly, simultaneous breast cancer and intestinal obstruction have been described in very few reports 7,11 .…”
Section: Discussionmentioning