Metastatic Gastric Cancer Arising from Breast Carcinoma: Endoscopic Ultrasonographic Aspects

Lorimier, G.; Binelli, Christophe; Burtin, P; Maillart, P.; Bertrand, G.; Verrièle, Véronique; Fondrinier, É.

doi:10.1055/s-2007-1001425

Cited by 37 publications

(27 citation statements)

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“…Macroscopic endoscopic findings are usually unhelpful in identifying the underlying pathology. Since metastatic gastric infiltration is frequently limited to the submucosa and seromuscular layer, endoscopic evaluation may be normal in 50% of cases or only show discrete mucosal abnormalities indistinguishable from other tumours or benign disease [13]. Radiological findings on computed tomography or barium studies include encasement of the whole stomach as seen in linitis plastica, multiple lesions of the stomach or extrinsic lesions of the gastric wall [4].…”

Section: Discussionmentioning

confidence: 99%

Breast cancer metastasis to the stomach may mimic primary gastric cancer: report of two cases and review of literature

et al. 2007

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Background: The stomach is an infrequent site of breast cancer metastasis. It may prove very difficult to distinguish a breast cancer metastasis to the stomach from a primary gastric cancer on the basis of clinical, endoscopic, radiological and histopathological features. It is important to make this distinction as the basis of treatment for breast cancer metastasis to the stomach is usually with systemic therapies rather than surgery.

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Section: Discussionmentioning

confidence: 99%

Breast cancer metastasis to the stomach may mimic primary gastric cancer: report of two cases and review of literature

et al. 2007

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“…However, it has also been utilized for sampling ascites, the adrenal glands, as well as lymph nodes surrounding the esophagus, stomach, proximal duodenum, and rectum to aid in the diagnosis of malignancy [2, 3, 4, 5]. While EUS has previously been shown to be useful in diagnosing metastatic breast cancer to the esophagus, mediastinum, pancreas, stomach, and peritoneum [2, 3, 4, 6, 7, 8], there have been no reports to our knowledge describing the use of EUS for diagnosing an intraabdominal lymph node recurrence of breast cancer as in this case. Since the diagnosis of metastatic breast cancer was established by EUS, the patient was able to receive adjuvant therapy without undergoing more invasive procedures to sample the concerning pulmonary nodule.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Metastatic Breast Cancer to an Intraabdominal Lymph Node by Endoscopic Ultrasound

Merrill¹,

Oh²

2011

Case Rep Gastroenterol

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Breast cancer can present with metastatic disease initially or as a systemic relapse despite seemingly adequate initial treatment. We report a case of suspected metastatic breast cancer to an intraabdominal lymph node based on imaging, which was subsequently confirmed by tissue sampling at the time of endoscopic ultrasound (EUS). While previous studies have shown the utility of EUS in the diagnosis of metastatic breast cancer, this is the first case to our knowledge that describes the use of EUS in diagnosing recurrent breast cancer to an intraabdominal lymph node.

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“…Furthermore, because tumors are located in deep mucosal tissue, it is not rare for a biopsy to show a false negative [3,4,5,6]. Therefore, in the past, there have not been any studies on diagnostic performance for gastric metastasis using endoscopic ultrasound, but this method may be useful in making a morphological diagnosis and selecting an appropriate biopsy location [8]. …”

Section: Discussionmentioning

confidence: 99%

Metastatic Breast Cancer to the Stomach Resembling Early Gastric Cancer

et al. 2010

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Breast cancer metastases to the stomach are very rare. As characteristics of breast cancer metastases to the stomach, metastases of lobular carcinoma, mainly with signet ring cells, are frequently observed, and they are often difficult to distinguish from a primary gastric cancer with signet ring cells. Moreover, because no characteristic symptoms are shown and they involve a submucosal lesion, it is difficult to make a radiographic diagnosis. However, if a gastric lesion is observed after breast carcinoma surgery, differentiation between a gastric primary lesion and a metastatic lesion is very important in order to determine treatment. We encountered a case that was diagnosed as early gastric cancer discovered using an endoscope 2 years after surgery and which was found to be breast cancer metastasis to the stomach by gross cystic disease fluid protein (GCDFP) and cytokeratin (CK) 7/20 immunostaining of the biopsy tissue. Here, we report our findings of this unique case.

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Metastatic Gastric Cancer Arising from Breast Carcinoma: Endoscopic Ultrasonographic Aspects

Cited by 37 publications

References 0 publications

Breast cancer metastasis to the stomach may mimic primary gastric cancer: report of two cases and review of literature

Breast cancer metastasis to the stomach may mimic primary gastric cancer: report of two cases and review of literature

Diagnosis of Metastatic Breast Cancer to an Intraabdominal Lymph Node by Endoscopic Ultrasound

Metastatic Breast Cancer to the Stomach Resembling Early Gastric Cancer

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