Endoscopic biliary drainge for breast carcinoma metastatic to the duodenum

Ellis, Michael Peter; Levey, John

doi:10.1016/s0002-9270(03)01266-8

Cited by 2 publications

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“…4 , 5 , 6 It is important to recognize this group of patients because in patients with normal liver function, relief of biliary obstruction using surgical bypass or biliary stenting extends their survival to over 1 year, in comparison to those with liver metastases, whose mean survival is only about 1 month. 11 , 12 , 13 …”

Section: Discussionmentioning

confidence: 99%

Ampullary Metastasis From Breast Cancer: A Rare Cause of Obstructive Jaundice

Giestas

Lopes

Souto

et al. 2016

GE Portuguese Journal of Gastroenterology

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Breast cancer is the most common tumor in women and the first cause of death for malignancy in the female. Bile ducts are not among the common sites of metastasis from breast cancer. Few cases of obstructive jaundice due to metastatic breast cancer have been described in the literature and they mostly resulted from widespread liver metastases that eventually involved the bile ducts. We report an exceptional case of ampullary metastasis in the absence of liver metastases.Sporadic reports have been published about the involvement of the ampulla by breast cancer metastasis. This case emphasizes the need to consider this diagnosis in women presenting with obstructive jaundice, especially when there is a clinical possibility of breast cancer.

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Section: Discussionmentioning

confidence: 99%

Ampullary Metastasis From Breast Cancer: A Rare Cause of Obstructive Jaundice

Giestas

Lopes

Souto

et al. 2016

GE Portuguese Journal of Gastroenterology

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“…Jaundice, as a symptom in patients with breast cancer, usually arises from metastatic disease replacing liver parenchyma, but there is also a group of patients whose jaundice is caused by obstruction of extrahepatic bile ducts by nodal metastases [ 11 ]. It is important to recognize this group of patients because in patients with normal liver function, relief of biliary obstruction using surgical bypass or biliary stenting extends their survival to over 1 year [ 12 ], in comparison to those with liver metastases, whose mean survival is only about 1 month [ 13 ]. Biliary stenting is a commonly used procedure in treating patients with pancreaticobiliary malignancies, metastatic disease and external biliary compression by lymph nodes.…”

Section: Discussionmentioning

confidence: 99%

Obstructive Jaundice as an Uncommon Manifestation of Metastatic Breast Cancer

et al. 2015

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Invasive ductal carcinoma is the most common type of breast cancer and accounts for about 70-85% of all invasive breast carcinomas. It primarily metastasizes to the bone, lungs, regional lymph nodes, liver and brain. Most of breast cancer recurrence occurs within the first 5 years of diagnosis, particularly for ER negative disease. Gastrointestinal tract involvement is very rare and is detected in only 10% of all the cases, and it usually derives from lobular breast cancer rather than the much more common cell type of ductal breast cancer. Early diagnosis is very important because it enables prompt and adequate choice of treatment and improves patient’s long-term prognosis. In this report we describe an unusual case of obstructive jaundice caused by metastases from invasive ductal breast cancer to the lymph nodes of the hepatoduodenal ligament with extramural compression of the distal common bile duct and tumor invasion to the lumen of the duct. Our goal is to emphasize possible diagnostic pitfalls and increase the clinical awareness and the importance of intensive follow-up in patients with breast cancer, even years after the initial diagnosis.

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Endoscopic biliary drainge for breast carcinoma metastatic to the duodenum

Cited by 2 publications

References 0 publications

Ampullary Metastasis From Breast Cancer: A Rare Cause of Obstructive Jaundice

Ampullary Metastasis From Breast Cancer: A Rare Cause of Obstructive Jaundice

Obstructive Jaundice as an Uncommon Manifestation of Metastatic Breast Cancer

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