Review of esophageal metastasis from breast cancer

Su, Hui; Wu, Jing; Liu, Hong; Wei, Nan; Lin, Wei-Hsin; Zhou, Quan; Wang, Miaomiao; Lv, Shuzhen; Yang, Yunsheng

doi:10.21037/gs.2020.04.05

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…Esophageal metastasis of primary breast cancer is rare, with nearly all the literature on this topic consisting of case reports. [ 3 ] A case was reported in a patient who was successfully cured of breast cancer after chemotherapy and mastectomy, and developed metastatic breast cancer within the esophagus 19 years later. [ 4 ] Esophageal metastases are rare in breast cancer patients, most of whom are between 50 and 70 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 ] Esophageal metastasis from breast cancer most often involves the middle or lower third of the esophagus. [ 3 ] Esophageal metastasis always originates from the outside inward, and metastasis to the mucosal layers is extremely rare. Therefore, previous studies have reported endoscopic findings of an esophagus with a normal mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, previous studies have reported endoscopic findings of an esophagus with a normal mucosa. [ 3 ] Endoscopic ultrasound-guided fine-needle aspiration can improve the biopsy-positive rate. In our case, the esophageal stricture occurred in the middle or lower third of the esophagus.…”

Section: Discussionmentioning

confidence: 99%

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Esophageal stenosis after chemotherapy for breast cancer

Ren

Yin

et al. 2022

Medicine

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Rationale: Esophageal stenosis after chemotherapy in breast cancer patients is rare. Distinguishing esophageal stenosis from esophageal metastasis caused by breast cancer is important. Patient concerns and diagnosis:A 62-year-old woman diagnosed with advanced breast cancer and no distant metastases gradually developed skin changes, oral ulcers and mucosal injures after four cycles of chemotherapy. Dysphagia was the most severe symptom that greatly affected the patient's quality of life. Ultimately, esophageal stenosis and ulceration were confirmed by serial radiological examinations and endoscopic biopsy.Interventions: Due to difficulties in eating orally, the patient was initially placed on a nasogastric tube in order to improve her nutritional status. Simultaneously, she was administered powerful proton pump inhibitors. She underwent modified radical mastectomy for breast cancer after her nutritional status improved. However, the patient was still suffering from severe dysphagia after more than 4 months of follow-up. Subsequently, she underwent removable esophageal stent implantation after after unsuccessful attempts to dilate her esophagus.Outcomes: The dysphagia symptoms were immediately alleviated to a certain degree, and the dilated cavity of the upper esophagus showed slight retraction.Lessons: Esophageal stenosis is very infrequent in patients with breast cancer after chemotherapy. It needs to be. distinguished from esophageal metastasis caused by breast cancer. Esophageal stent implantation may provide benefits in terms of both symptom control and survival in patients with severe esophageal structures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Esophageal stenosis after chemotherapy for breast cancer

Ren

Yin

et al. 2022

Medicine

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“…A szűkület benignus folyamatra utaló képe rendkívül megtévesztő lehet. A precíz diagnózist az endoszkópos utrahangvizsgálat és az ennek kapcsán végzett vékonytű-biopszia citológiai eredménye tudná biztosítani [19][20][21][22][23], de ehhez a szűkületnek az eszköz számára átjárhatónak kell lennie. Az átjárhatóságot tágító kezeléssel lehet elérni, aminek viszont jelentős perforációs kockázata van.…”

Section: Esetismertetésunclassified

Emlődaganat nyelőcsőszűkületet okozó késői áttéte

Balázs

Vass

Szíjártó

2022

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Az emlőtumor nyelőcső szűkületét okozó áttéte a viszonylagos ritkasága, nehéz felismerhetősége és vizsgálatokkal való nehéz kimutathatósága miatt jelentős diagnosztikus és terápiás kihívást jelent. Esetünkben a primer daganat kezelését követően 19 évvel jelentkező, lassú progressziójú dysphagia kivizsgálása megtévesztő eredményt produkált. A benignus folyamatnak tartott szűkület tágító kezelése kapcsán kialakult perforációs szövődmény miatt a nyelőcső transhiatalis exstirpatiójára kényszerültünk. Az eltávolított nyelőcső pótlását egy ülésben, ortotopikus úton felvitt csőgyomorral végeztük. Kezelési taktikánk, kényszerűségből, több ponton eltért a rutinszerű eljárási rendünktől, de a beteg gyógyulását eredményezte. Az eltávolított anyag szövettani vizsgálata derítette ki a valódi kórokot, az emlőtumor körkörös és közel teljes elzáródást okozó mediastinalis metastasisát. Orv Hetil. 2022; 163(24): 961–966.

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“…The patient sought medical attention due to dysphagia for solids and liquids, associated with intermittent episodes of chest pain, esophageal fullness, hyporexia, nausea, and vomiting of gastric food content 2 to 3 times per week. Three months later she began to have changes in bowel habits: increased frequency (4/day) and decreased consistency (Bristol 6), alternating with periods of constipation (Bristol 1) [3,4]. On the fourth month she presented with ascites and pleural effusion.…”

Section: Introductionmentioning

confidence: 99%

Colonic metastasis of invasive lobular breast carcinoma 14 years after the initial diagnosis

Oscar¹,

Elmer²,

S³

et al. 2022

J Clin Images Med Case Rep

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A 57-year-old woman with a history of lobular carcinoma of the left breast (stage I, T1b-N0-M0, HER2/neu-negative; estrogen and progesterone receptor-positive) diagnosed 14 years ago, treated with modified radical mastectomy and tamoxifen, followed by surveillance for 5 years. She recently returned due to dysphagia, chest pain, hyporexia, nausea, vomiting, unintentional weight loss, and at 3 months later changes in bowel habits increased frequency and decreased consistency (Bristol-6), alternating with constipation (Bristol-1) ascites and pleural effusion.

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Review of esophageal metastasis from breast cancer

Cited by 8 publications

References 14 publications

Esophageal stenosis after chemotherapy for breast cancer

Esophageal stenosis after chemotherapy for breast cancer

Emlődaganat nyelőcsőszűkületet okozó késői áttéte

Colonic metastasis of invasive lobular breast carcinoma 14 years after the initial diagnosis

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