Metastatic breast carcinoma simulating linitis plastica of the colon: Report of a case
A 48-year-old woman developed a mobile abdominal mass in the course of treatment for recurrent breast cancer. Imaging studies indicated linitis plastica of the colon. She underwent surgery because of the stenosis of the transverse colon. An examination of the resected specimen revealed a segmental s...
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Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2011-04, Vol.41 (4), p.542-545 |
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creator | Okido, Masayuki Seo, Mitsuru Hamada, Yuzo Kurihara, Shuichi Matsumoto, Kotaro Konomi, Hiroyuki Kato, Masato Ichimiya, Hitoshi |
description | A 48-year-old woman developed a mobile abdominal mass in the course of treatment for recurrent breast cancer. Imaging studies indicated linitis plastica of the colon. She underwent surgery because of the stenosis of the transverse colon. An examination of the resected specimen revealed a segmental stricture, thickening of the entire wall, and a granular mucosa resembling cobblestones. Microscopic findings of the colon lesion were very similar to those of her primary, invasive lobular carcinoma of the breast. Atypical cells showed immunoreactivity for cytokeratin-7, but not for cytokeratin-20. These findings suggested that the lesion of the colon was a colonic metastasis of breast cancer. Metastatic gastrointestinal diseases originating from breast carcinoma are unusual, and colonic metastases are especially rare. Although colon cancer may occur in patients with a history of breast cancer, metastatic colon cancer should be suspected if linitis plastica is detected. |
doi_str_mv | 10.1007/s00595-009-4305-1 |
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Imaging studies indicated linitis plastica of the colon. She underwent surgery because of the stenosis of the transverse colon. An examination of the resected specimen revealed a segmental stricture, thickening of the entire wall, and a granular mucosa resembling cobblestones. Microscopic findings of the colon lesion were very similar to those of her primary, invasive lobular carcinoma of the breast. Atypical cells showed immunoreactivity for cytokeratin-7, but not for cytokeratin-20. These findings suggested that the lesion of the colon was a colonic metastasis of breast cancer. Metastatic gastrointestinal diseases originating from breast carcinoma are unusual, and colonic metastases are especially rare. Although colon cancer may occur in patients with a history of breast cancer, metastatic colon cancer should be suspected if linitis plastica is detected.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-009-4305-1</identifier><identifier>PMID: 21431489</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Biomarkers, Tumor - analysis ; Breast Neoplasms - pathology ; Breast Neoplasms - surgery ; Case Report ; Colonic Neoplasms - diagnostic imaging ; Colonic Neoplasms - secondary ; Colonic Neoplasms - surgery ; Diagnosis, Differential ; Female ; Humans ; Immunohistochemistry ; Linitis Plastica - diagnosis ; Lymph Node Excision ; Mastectomy ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Invasiveness ; Radiography ; Surgery ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2011-04, Vol.41 (4), p.542-545</ispartof><rights>Springer 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-c4a8aef232d103fe52e5ec363aa941504fdc9533c8746252c438caaa2ad00da43</citedby><cites>FETCH-LOGICAL-c462t-c4a8aef232d103fe52e5ec363aa941504fdc9533c8746252c438caaa2ad00da43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-009-4305-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-009-4305-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21431489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okido, Masayuki</creatorcontrib><creatorcontrib>Seo, Mitsuru</creatorcontrib><creatorcontrib>Hamada, Yuzo</creatorcontrib><creatorcontrib>Kurihara, Shuichi</creatorcontrib><creatorcontrib>Matsumoto, Kotaro</creatorcontrib><creatorcontrib>Konomi, Hiroyuki</creatorcontrib><creatorcontrib>Kato, Masato</creatorcontrib><creatorcontrib>Ichimiya, Hitoshi</creatorcontrib><title>Metastatic breast carcinoma simulating linitis plastica of the colon: Report of a case</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>A 48-year-old woman developed a mobile abdominal mass in the course of treatment for recurrent breast cancer. Imaging studies indicated linitis plastica of the colon. She underwent surgery because of the stenosis of the transverse colon. An examination of the resected specimen revealed a segmental stricture, thickening of the entire wall, and a granular mucosa resembling cobblestones. Microscopic findings of the colon lesion were very similar to those of her primary, invasive lobular carcinoma of the breast. Atypical cells showed immunoreactivity for cytokeratin-7, but not for cytokeratin-20. These findings suggested that the lesion of the colon was a colonic metastasis of breast cancer. Metastatic gastrointestinal diseases originating from breast carcinoma are unusual, and colonic metastases are especially rare. Although colon cancer may occur in patients with a history of breast cancer, metastatic colon cancer should be suspected if linitis plastica is detected.</description><subject>Biomarkers, Tumor - analysis</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Case Report</subject><subject>Colonic Neoplasms - diagnostic imaging</subject><subject>Colonic Neoplasms - secondary</subject><subject>Colonic Neoplasms - surgery</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Linitis Plastica - diagnosis</subject><subject>Lymph Node Excision</subject><subject>Mastectomy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Radiography</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAURS0EoqXwA1iQN6bA81eTsKGKL6kICQGr9eo4xVUSFzsZ-Pe4SmFksS2_c6_sQ8g5gysGkF9HAFWqDKDMpACVsQMyZVLMM14wcUimUEqWMV6yCTmJcQPAZQFwTCY8UUwW5ZR8PNseY4-9M3QVbDpSg8G4zrdIo2uHJo26NW1c53oX6bZJiDNIfU37T0uNb3x3Q1_t1od-d4kpH-0pOaqxifZsv8_I-_3d2-IxW748PC1ul5mRc96nFQu0NRe8YiBqq7hV1oi5QExPVyDrypRKCFPkiVfcSFEYRORYAVQoxYxcjr3b4L8GG3vdumhs02Bn_RB1oYo8zwXLE8lG0gQfY7C13gbXYvjWDPTOph5t6mRT72xqljIX-_Zh1drqL_GrLwF8BGIadWsb9MYPoUs__qf1B94uf-s</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Okido, Masayuki</creator><creator>Seo, Mitsuru</creator><creator>Hamada, Yuzo</creator><creator>Kurihara, Shuichi</creator><creator>Matsumoto, Kotaro</creator><creator>Konomi, Hiroyuki</creator><creator>Kato, Masato</creator><creator>Ichimiya, Hitoshi</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Metastatic breast carcinoma simulating linitis plastica of the colon: Report of a case</title><author>Okido, Masayuki ; 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Imaging studies indicated linitis plastica of the colon. She underwent surgery because of the stenosis of the transverse colon. An examination of the resected specimen revealed a segmental stricture, thickening of the entire wall, and a granular mucosa resembling cobblestones. Microscopic findings of the colon lesion were very similar to those of her primary, invasive lobular carcinoma of the breast. Atypical cells showed immunoreactivity for cytokeratin-7, but not for cytokeratin-20. These findings suggested that the lesion of the colon was a colonic metastasis of breast cancer. Metastatic gastrointestinal diseases originating from breast carcinoma are unusual, and colonic metastases are especially rare. Although colon cancer may occur in patients with a history of breast cancer, metastatic colon cancer should be suspected if linitis plastica is detected.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>21431489</pmid><doi>10.1007/s00595-009-4305-1</doi><tpages>4</tpages></addata></record> |
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subjects | Biomarkers, Tumor - analysis Breast Neoplasms - pathology Breast Neoplasms - surgery Case Report Colonic Neoplasms - diagnostic imaging Colonic Neoplasms - secondary Colonic Neoplasms - surgery Diagnosis, Differential Female Humans Immunohistochemistry Linitis Plastica - diagnosis Lymph Node Excision Mastectomy Medicine Medicine & Public Health Middle Aged Neoplasm Invasiveness Radiography Surgery Surgical Oncology |
title | Metastatic breast carcinoma simulating linitis plastica of the colon: Report of a case |
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