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Erschienen in: memo - Magazine of European Medical Oncology 2/2013

01.06.2013 | case report

Isolated colonic metastasis from breast cancer 11 years after primary diagnosis

verfasst von: Dr. Hazem Ben Ameur, MD, Haitham Rejab, Salah Boujelbene, Wala Ben Kridis, Najla Abid, Naoures Gouiaa, Tahia Boudaouara, Mounir Frikha, Mohamed Issam Beyrouti

Erschienen in: memo - Magazine of European Medical Oncology | Ausgabe 2/2013

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Abstract

Colon is a very rare site of metastasis from breast cancer. Its diagnosis is challenging. We report a new case of 56-year-old woman who was previously treated for lobular breast carcinoma 11 years ago. Radiologic features on barium enema and computed tomography (CT) were concordant with primary cancer of the transverse colon. The true diagnosis was made by immunohistochemical study of hemicolectomy specimen, which showed positivity for CA 15-3, cytokeratin 7, estrogen receptor, and progesterone receptor and negativity for cytokeratin 20 and carcinoembryonic antigen (CEA). The patient received chemotherapy and hormonal therapy. After a follow-up of 17 months, she is still alive with no evidence of recurrence. Literature review revealed that diagnosis should be suspected in the presence of bowel disorders in women with history of breast cancer even several years later. Surgery is beneficial in only isolated colonic metastasis. Otherwise, the treatment is based on systemic therapy. The prognosis is usually poor.
Literatur
1.
Zurück zum Zitat Borst MJ, Ingold JA. Metastatic patterns of invasive lobular versus invasive ductal carcinoma of the breast. Surgery. 1993;114:637–41.PubMed Borst MJ, Ingold JA. Metastatic patterns of invasive lobular versus invasive ductal carcinoma of the breast. Surgery. 1993;114:637–41.PubMed
2.
Zurück zum Zitat Uygun K, Kocak Z, Altaner S, Cicin I, Tokatli F, Uzal C. Colonic metastasis from carcinoma of the breast that mimics a primary intestinal cancer. Yonsei Med J. 2006;47(4):578–82.PubMedCrossRef Uygun K, Kocak Z, Altaner S, Cicin I, Tokatli F, Uzal C. Colonic metastasis from carcinoma of the breast that mimics a primary intestinal cancer. Yonsei Med J. 2006;47(4):578–82.PubMedCrossRef
3.
Zurück zum Zitat Mc Lemore EC, Pockaj BA, Reynolds C, et al. Breast cancer: presentation and intervention in women with gastrointestinal metastases and carcinomatosis. Ann Surg Oncol. 2005;12:886–94.CrossRef Mc Lemore EC, Pockaj BA, Reynolds C, et al. Breast cancer: presentation and intervention in women with gastrointestinal metastases and carcinomatosis. Ann Surg Oncol. 2005;12:886–94.CrossRef
4.
Zurück zum Zitat Okido M, Seo M, Hamada Y, et al. Metastatic breast carcinoma simulating linitis plastica of the colon: report of a case. Surg Today. 2011;41:542–5.PubMedCrossRef Okido M, Seo M, Hamada Y, et al. Metastatic breast carcinoma simulating linitis plastica of the colon: report of a case. Surg Today. 2011;41:542–5.PubMedCrossRef
5.
Zurück zum Zitat Théraux J, Bretagnola F, Guedjb N, Cazals-Hatemb D, Panis Y. Colorectal breast carcinoma metastasis diagnosed as an obstructive colonic primary tumor. A case report and review of the literature. Gastroentrol Clin Biol. 2009;33:1114–7.CrossRef Théraux J, Bretagnola F, Guedjb N, Cazals-Hatemb D, Panis Y. Colorectal breast carcinoma metastasis diagnosed as an obstructive colonic primary tumor. A case report and review of the literature. Gastroentrol Clin Biol. 2009;33:1114–7.CrossRef
6.
Zurück zum Zitat Birla R, Mahawar KK, Orizu M, Siddiqui MS, Batra A. Caecal metastasis from breast cancer presenting as intestinal obstruction. World J Surg Oncol. 2008;6:47.PubMedCrossRef Birla R, Mahawar KK, Orizu M, Siddiqui MS, Batra A. Caecal metastasis from breast cancer presenting as intestinal obstruction. World J Surg Oncol. 2008;6:47.PubMedCrossRef
7.
Zurück zum Zitat Voravud N, el-Naggar AK, Balch CM, Theriault RL. Metastatic lobular breast carcinoma simulating primary colon cancer. Am J Clin Oncol. 1992;15:365–9.PubMedCrossRef Voravud N, el-Naggar AK, Balch CM, Theriault RL. Metastatic lobular breast carcinoma simulating primary colon cancer. Am J Clin Oncol. 1992;15:365–9.PubMedCrossRef
8.
Zurück zum Zitat Yokota T, Kunii Y, Kagami M, et al. Metastatic breast carcinoma masquerading as primary colon cancer. Am J Gastroenterol. 2000;95:3014–6.PubMedCrossRef Yokota T, Kunii Y, Kagami M, et al. Metastatic breast carcinoma masquerading as primary colon cancer. Am J Gastroenterol. 2000;95:3014–6.PubMedCrossRef
9.
Zurück zum Zitat Easter DW, Jamshidipour R, McQuaid K. Laparoscopy to correctly diagnose and stage metastatic breast cancer mimicking Crohn’s disease. Surg Endosc. 1995;9:820–3.PubMedCrossRef Easter DW, Jamshidipour R, McQuaid K. Laparoscopy to correctly diagnose and stage metastatic breast cancer mimicking Crohn’s disease. Surg Endosc. 1995;9:820–3.PubMedCrossRef
10.
Zurück zum Zitat Michalopoulos A, Papadopoulos V, Zatagias A, et al. Metastatic breast adenocarcinoma masquerading as colonic primary: report of two cases. Tech Coloproctol. 2004;8:135–7.CrossRef Michalopoulos A, Papadopoulos V, Zatagias A, et al. Metastatic breast adenocarcinoma masquerading as colonic primary: report of two cases. Tech Coloproctol. 2004;8:135–7.CrossRef
11.
Zurück zum Zitat Law W, Chu K. Scirrhous colonic metastasis from ductal carcinoma of the breast. Dis Colon Rectum. 2003;46:1424–7.PubMedCrossRef Law W, Chu K. Scirrhous colonic metastasis from ductal carcinoma of the breast. Dis Colon Rectum. 2003;46:1424–7.PubMedCrossRef
12.
Zurück zum Zitat Rosati G, Ferrara D, Scarano E, Siciliano P. Colon and muscle metastases from lobular breast carcinoma: a very rare entity. Breast J. 2012;18:77–9.PubMedCrossRef Rosati G, Ferrara D, Scarano E, Siciliano P. Colon and muscle metastases from lobular breast carcinoma: a very rare entity. Breast J. 2012;18:77–9.PubMedCrossRef
13.
Zurück zum Zitat Kaufmann O, Deidesheimer T, Muehlenberg M, Deicke P, Dietel M. Immunohistochemical differentiation of metastatic breast carcinomas from metastatic adenocarcinomas of other common primary sites. Histopathology. 1996;29:233–40.PubMedCrossRef Kaufmann O, Deidesheimer T, Muehlenberg M, Deicke P, Dietel M. Immunohistochemical differentiation of metastatic breast carcinomas from metastatic adenocarcinomas of other common primary sites. Histopathology. 1996;29:233–40.PubMedCrossRef
14.
Zurück zum Zitat Park SY, Kim BH, Kim JH, Lee S, Hoon KG. Panels of immunohistochemical markers help determine primary sites of metastatic adenocarcinoma. Arch Pathol Lab Med. 2007;131:1561–7.PubMed Park SY, Kim BH, Kim JH, Lee S, Hoon KG. Panels of immunohistochemical markers help determine primary sites of metastatic adenocarcinoma. Arch Pathol Lab Med. 2007;131:1561–7.PubMed
15.
Zurück zum Zitat Signorelli C, Pomponi-Formiconi D, Nelli F, Pollera CF. Single colon metastasis from breast cancer: a clinical case report. Tumori. 2005;91:424–7.PubMed Signorelli C, Pomponi-Formiconi D, Nelli F, Pollera CF. Single colon metastasis from breast cancer: a clinical case report. Tumori. 2005;91:424–7.PubMed
Metadaten
Titel
Isolated colonic metastasis from breast cancer 11 years after primary diagnosis
verfasst von
Dr. Hazem Ben Ameur, MD
Haitham Rejab
Salah Boujelbene
Wala Ben Kridis
Najla Abid
Naoures Gouiaa
Tahia Boudaouara
Mounir Frikha
Mohamed Issam Beyrouti
Publikationsdatum
01.06.2013
Verlag
Springer Vienna
Erschienen in
memo - Magazine of European Medical Oncology / Ausgabe 2/2013
Print ISSN: 1865-5041
Elektronische ISSN: 1865-5076
DOI
https://doi.org/10.1007/s12254-013-0076-x

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