Metastatic Invasive Lobular Breast Carcinoma Mimicking Obstructive Primary Colonic Malignancy: A Case Report

IF 0.2 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Ffy Wan, T. Chin, W. Ho, YK So
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引用次数: 0

Abstract

CASE REPORT A 40-year-old woman with good past health presented with a 2-week history of repeated vomiting. Abdominal radiograph revealed multiple dilated large bowel loops. Urgent computed tomography of the abdomen and pelvis revealed a circumferential colonic tumour at the splenic flexure causing upstream bowel dilatation (Figure 1) and a solid peritoneal nodule suspicious of metastasis (Figure 2). An enhancing irregular left breast mass with spiculated margin, invading the underlying pectoralis major muscle, was noted incidentally on the computed tomography scan (Figure 3). The patient subsequently underwent emergency surgery that revealed an obstructing circumferential tumour at the splenic flexure of the colon and multiple small peritoneal nodules. Extended right hemicolectomy was performed.
转移性浸润性小叶乳腺癌模拟梗阻性原发结肠恶性肿瘤1例报告
病例报告:一名40岁女性,既往健康状况良好,有2周反复呕吐史。腹部X线片显示有多个扩张的大肠环。腹部和骨盆的紧急计算机断层扫描显示,脾曲处有一个环形结肠肿瘤,导致上游肠道扩张(图1)和一个可疑转移的腹膜实性结节(图2)。在计算机断层扫描中,偶然发现左乳不规则肿块增强,边缘有毛刺,侵犯了下方的胸大肌(图3)。患者随后接受了紧急手术,发现结肠脾曲处有一个阻塞性周向肿瘤和多个腹膜小结节。进行了扩大的右半结肠切除术。
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来源期刊
Hong Kong Journal of Radiology
Hong Kong Journal of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
0.30
自引率
0.00%
发文量
47
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