745. A CASE OF ESOPHAGEAL METASTATIC STRICTURE 9 YEARS AFTER BREAST CANCER SURGERY

IF 2.3 3区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Hidetsugu Nakazato, Shinji Nagamine, Hiromi Tokizawa, Takeshi Tomiyama, Takehiko Tomori, Seiji Nagayoshi, Jun Miyagi
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引用次数: 0

Abstract

Background Oesophageal metastasis of breast cancer is relatively rare. In this report, we describe our experience of a case in which dysphagia was the main complaint, leading to the diagnosis of esophageal metastasis. Method A 63-year-old woman who had undergone partial mastectomy and sentinel lymph node removal in 20xx with a diagnosis of breast cancer presented 9 years after surgery with dysphagia. The postoperative pathological diagnosis of breast cancer was invasive ductal carcinoma, T2, N0, M0, ly1. She had previously received chemotherapy for recurrent bone metastases and mediastinal lymph node metastases 7 years post-operatively, and RT and chemotherapy for a diagnosis of SVC syndrome due to mediastinal lymph nodes 8 years post-operatively. In the present case, upper gastrointestinal endoscopy showed oesophageal stricture and biopsy showed ER+ and PgR- from oesophageal mucosa. Radiotherapy and chemotherapy were administered for the diagnosis of oesophageal metastasis of breast cancer, and the patient's symptoms improved. Conclusion In the case of oesophageal stricture with dysphagia after breast cancer surgery, it is essential to consider oesophageal metastases of breast cancer as a differential, although rare, in addition to benign and primary disease.
745.一例乳腺癌术后 9 年的食管转移性狭窄病例
背景 乳腺癌食道转移相对罕见。在本报告中,我们描述了一例以吞咽困难为主要症状的病例,该病例最终被诊断为食管转移。方法 一位 63 岁的女性在 20xx 年接受了乳房部分切除术和前哨淋巴结清除术,诊断为乳腺癌,术后 9 年出现吞咽困难。术后病理诊断为浸润性导管癌,T2,N0,M0,ly1。她曾在术后 7 年因复发性骨转移和纵隔淋巴结转移接受过化疗,术后 8 年因纵隔淋巴结导致的 SVC 综合征接受过 RT 和化疗。在本病例中,上消化道内镜检查显示食道狭窄,活检显示食道粘膜ER+和PgR-。诊断为乳腺癌食道转移后,患者接受了放疗和化疗,症状有所改善。结论 对于乳腺癌手术后出现食道狭窄并伴有吞咽困难的病例,除了良性和原发性疾病外,还必须将乳腺癌食道转移瘤作为一种鉴别诊断,尽管这种情况很少见。
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来源期刊
Diseases of the Esophagus
Diseases of the Esophagus 医学-胃肠肝病学
CiteScore
5.30
自引率
7.70%
发文量
568
审稿时长
6 months
期刊介绍: Diseases of the Esophagus covers all aspects of the esophagus - etiology, investigation and diagnosis, and both medical and surgical treatment.
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