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HOME > Kosin Med J > Volume 30(1); 2015 > Article
Case Report
Peritoneal and gastric metastasis from invasive lobular breast carcinoma: a case report
Yoon Seok Kim1, Eun Ae Jae2, Dong Won Ryu1, Chung Han Lee1
Kosin Medical Journal 2015;30(1):87-92.
DOI: https://doi.org/10.7180/kmj.2015.30.1.87
Published online: January 20, 2015

1Department of Surgery, College of Medicine, Kosin University, Busan, Korea

2Department of Obstetrics and Gynecology, College of Medicine, Kosin University, Busan, Korea

Corresponding Author:Chung Han Lee Department of Surgery, Kosin University College of Medicine, 262, Gamcheon-ro, Seo-gu, Busan 602-702, Korea TEL: +82-51-990-6462 FAX: +82-51-246-6093 E-mail: mammomaster@naver.com
• Received: September 12, 2013   • Accepted: February 3, 2014

Copyright © 2015 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Peritoneal and gastrointestinal metastasis from breast cancer is very rare. We report here a rare case of metastatic peritoneal and gastric cancer from breast lobular carcinoma after modified radical mastectomy. A 65-year old woman presented with anorexia, nausea, vomiting and dyspepsia for several weeks at 44 months after surgery. Radiologic study showed peritoneal metastasis, and surgical histopathology reported peritoneal and omental metastatic carcinoma. Esophagogastroduodenoscopic (EGD) biopsy also confirmed metastatic carcinoma originated from breast primary.
Fig. 1.
PET scan showed glucose hypermetabolism of abdominal cavity consistent with cancer peritonei. PET: positive emission tomography.
kmj-30-87f1.jpg
Fig. 2.
(A, B) Abdominal CT scans showed ascites, peritoneal thickening, omental smudge and cakes consistent with cancer peritonei. (C) Hydronephrotic change at the right kidney also presented. CT: computed tomography.
kmj-30-87f2.jpg
Fig. 3.
(A) After 9 cycles of chemotherapy, abdominal CT scans showed improving process with decreased ascites. (B) There are also hydronephrosis and hydroureter at the right kidney and ureter. CT: computed tomography.
kmj-30-87f3.jpg
Fig. 4.
EGD showed (A) esophageal candidiasis at the esophagus and (B) metastatic gastric carcinoma from breast at the body of stomach. EGD: esophagogastroduodenoscopy.
kmj-30-87f4.jpg
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