No abstract

Breast cancer rarely metastasises to the gastrointestinal tract. Lobular carcinoma more commonly metastasises to the uterus and appendages, peritoneum, and gastrointestinal tract than other types of breast cancer, while ductal carcinoma has a propensity to metastasise to the lungs, liver, and brain. We describe the case of a patient with no known history of breast cancer, whose primary presentation of lobular breast cancer was with malignant small intestinal and colonic strictures, with coexisting previously undiagnosed adenocarcinoma of the colon.

No abstract

We think that their suggestion that general practitioners should treat empirically for Chlamvdia trachomatis infection is highly inflammatory. As they admit, this infection has an appreciable morbidity; the correct management of such sexually transmitted infections requires accurate diagnosis, effective treatment, adequate tests of cure, and, very importantly, examination and treatment if necessary of all sexual partners. Suboptimal management, as they suggest, has no doubt contributed to the rising incidence of C trachomatis infection over the past decade.We stand by our recommendations that screening for genital infections be performed in selected women who have had one smear showing inflammatory changes and in women undergoing colposcopic examination because of repeated smears showing inflammatory changes. Such policies should encourage closer links between departments of genitourinary medicine and colposcopy clinics, which can only be of mutual benefit to patients and staff.