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
Hauptverfasser: Okido, Masayuki, Seo, Mitsuru, Hamada, Yuzo, Kurihara, Shuichi, Matsumoto, Kotaro, Konomi, Hiroyuki, Kato, Masato, Ichimiya, Hitoshi
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container_end_page 545
container_issue 4
container_start_page 542
container_title Surgery today (Tokyo, Japan)
container_volume 41
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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source MEDLINE; Springer Nature - Complete Springer Journals
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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