Metastatic breast carcinoma simulating linitis plastica of the colon: Report of a case

Okido, Masayuki; Seo, Mitsuru; Hamada, Yoshiaki; Kurihara, Shuichi; Matsumoto, Kotaro; Konomi, Hiroyuki; Kato, Masato; Ichimiya, Hitoshi

doi:10.1007/s00595-009-4305-1

Cited by 23 publications

(13 citation statements)

References 10 publications

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“…23 patients had metastases to the colon (11%), 16 presenting with obstruction/stenosis, 2 with multiple strictures/diffuse infiltration, 2 with polypoid lesions, 1 with linitis plastica, 1 with asymptomatic abdominal mass, and in 1 case presentations' symptoms were not reported [1, 2, 47, 53, 54, 61–72]. …”

Section: Case Reports and Results From The Literaturementioning

confidence: 99%

Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature

Ambroggi

Stroppa

Mordenti

et al. 2012

International Journal of Breast Cancer

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Luminal gastrointestinal (GI) metastases from breast cancer are rare, reports are fragmentary and poor. The purposes of this study are to assess the gastrointestinal involvement from breast cancer in a retrospective study at a single institution and reviewing the related literature. Between January 2007 and December 2011 a total of 980 patients with breast cancer were treated at our institution, patients' records and report database were analysed. Institutional Review Board approval was obtained for this study. A search of the literature using PubMed, CancerLit, Embase, was performed. Selected for the present review were papers published in English before June 2012. Five of 980 patients (0.5%) showed gastrointestinal metastases from breast cancer, 3 patients had gastric involvement, 1 jejunum, and 1 rectum. Reviewing the literature, 206 patients affected by gastrointestinal metastasis from breast cancer were identified: the most frequent site of metastasis was the stomach (60%). The majority of the patients underwent chemotherapy and endocrine therapy, someone surgery and radiotherapy. GI metastases from breast cancer are rare, but possible, and a very late recurrence can also occur. Cyto-histological diagnosis is mandatory, to differentiate GI metastases from breast cancer to other diseases and to allow an adequate treatment.

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Section: Case Reports and Results From The Literaturementioning

confidence: 99%

Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature

Ambroggi

Stroppa

Mordenti

et al. 2012

International Journal of Breast Cancer

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“…In the case of metastatic BC simulating colon linitis plastica reported by Okido et al, the biopsy showed necrotic tissue and failed to find carcinoma. The postoperative histological findings confirmed the colon metastasis from breast ILC 19. Carcoforo et al documented a 73-year-old women referred with abdominal pain, nausea, and emesis without oncologic history.…”

Section: Discussionmentioning

confidence: 68%

Intestinal metastasis from breast invasive ductal carcinoma after a long latency: case report and literature review

Liu¹,

Zhang²,

Guo³

et al. 2018

OTT

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Intestinal metastasis from breast cancer (BC) is rarely encountered in clinical practice. Nonspecific symptoms and long latency result in misdiagnosis as a primary intestinal tumor. Therefore, increased awareness of bowel metastasis secondary to BC and a thorough understanding of the clinical and molecular features, and intervention of bowel metastasis are fundamental to avoid the delay of correct diagnosis and management. Herein, we documented a BC patient who experienced progressive bellyache and vomiting 16 years after simplified radical mastectomy. Abdominal CT scan revealed localized thickening of the small intestine wall and lumen narrowing, initially diagnosed as a primary intestinal tumor. The subsequent operation resolved the intestinal obstruction and confirmed the diagnosis of intestinal involvement of BC. Radical local treatment followed by systemic intervention contributed to a better outcome. Our case indicates that intestinal metastasis should be included in the diagnostic checklist in patients presented with any intestinal symptom even with a remote history of BC. Our case is of great value in its rarity and calls for the awareness of clinicians for this special entity to guarantee the accurate and prompt diagnosis and treatment, and optimize the patient’s prognosis.

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“…The infiltration of metastatic lobular carcinoma was found to be of a diffuse pattern through the bowel wall and a linitus plastica-like thickening within the stomach, whereas invasive ductal metastases were nodular in nature 20. Similarly, in a case report by Okido et al 21, a metastatic lobular breast cancer presented as linitus plastica of the colon. Few case reports have documented metastatic ductal breast carcinoma to the colon22–27 and even rarer to the rectum 28.…”

Section: Discussionmentioning

confidence: 87%

Metastatic ductal carcinoma of the breast to colonic mucosa

Schellenberg

Wood²,

Baniak

et al. 2018

BMJ Case Reports

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Breast cancer is the most common malignancy among women, while invasive ductal carcinoma is the most common type of invasive breast cancer. Metastatic spread to the colon and rectum in breast cancer is rare. This report describes a case of a 69-year-old woman with metastatic ductal breast cancer to the rectosigmoid, presenting as an incidental finding on screening colonoscopy. The breast carcinoma was first diagnosed 2 years prior. Colonic biopsies from colonoscopy confirmed metastatic adenocarcinoma consistent with a breast primary. Ultimately her clinical condition worsened as she developed malignant ascites, a small bowel obstruction, and new bone metastases, and the patient succumbed to her illness. Cases of metastatic breast cancer to the gastrointestinal tract have predominantly been lobular breast carcinoma. Increased awareness of colonic metastasis may lead to more accurate diagnosis and earlier systemic treatment.

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Metastatic breast carcinoma simulating linitis plastica of the colon: Report of a case

Cited by 23 publications

References 10 publications

Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature

Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature

Intestinal metastasis from breast invasive ductal carcinoma after a long latency: case report and literature review

Metastatic ductal carcinoma of the breast to colonic mucosa

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