[因难以区分原发性和转移性癌症而被当作原发性胃癌治疗的乳腺癌胃转移：病例报告]。

Q4 Medicine

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI:10.11405/nisshoshi.121.117

Takayuki Nukui, Akihisa Minowa, Takashi Mizushima, Kenji Urakabe, Kohei Okayama, Taketo Suzuki, Yuta Suzuki, Kenichi Haneda, Satoru Takahashi, Fumihiro Okumura

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引用次数: 0

摘要

一名 50 多岁的女性患者因左侧原发性乳腺癌接受化疗，出现癌性胸膜炎和弥散性血管内凝血。食管胃十二指肠镜检查和肝活检发现了胃癌和肝癌。使用苏木精和伊红染色法很难通过病理结果区分原发性癌症和转移性癌症。根据雌激素受体表达的差异，我们同时诊断并治疗了原发性乳腺癌（ER阳性）和伴有肝转移的胃癌（ER阴性）。患者在接受化疗后存活了 10 个月。患者死亡后，由于内镜检查结果不典型，无法确定是否为原发性胃癌，因此进行了尸检，另外的免疫组化检查结果显示为乳腺癌的胃转移。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

[Gastric metastasis of breast cancer treated as primary gastric cancer due to difficulty in differentiating primary and metastatic cancer:a case report].

A female patient in her 50s who underwent chemotherapy for left primary breast cancer presented with cancerous pleurisy and disseminated intravascular coagulation. Esophagogastroduodenoscopy and liver biopsy revealed gastric and liver cancer. Distinguishing between primary and metastatic cancer by pathological findings is difficult using hematoxylin and eosin staining. We diagnosed and treated simultaneous primary breast cancer (ER-positive) and gastric cancer with liver metastasis (ER-negative), based on differences in estrogen receptor expression. The patient lived for 10 months with chemotherapy. After death, an autopsy was performed because the endoscopic results were atypical for primary gastric cancer, and additional immunohistochemical studies indicated gastric metastasis of breast cancer.

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来源期刊

Japanese Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.