经内镜下正常粘膜活检和内镜超声引导下穿刺诊断为弥漫性胃肠道累及的lynch相关转移性乳腺癌。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI:10.14309/crj.0000000000001613

Carl L Kay, Sophia J Christiansen, Cyrus V Edelson, Shane P Sweeney, John P Magulick, Charles B Miller

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引用次数: 0

摘要

内镜下超声引导下穿刺在适当考虑感染相关并发症后可安全辅助浸润性小叶乳腺癌的诊断。这是一例转移性乳腺癌，没有临床或乳房影像学表现。患者表现为非特异性胃肠道症状，内镜下外观正常，但组织学为恶性。超声引导下的内镜穿刺有助于转移性小叶乳腺癌的诊断，并可纳入高级内镜医师的诊断设备。此外，本病例强调了Lynch综合征的非典型病例，表现为指数肠外恶性肿瘤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Lynch-Related Metastatic Breast Cancer With Diffuse Gastrointestinal Involvement Diagnosed With Endoscopically Normal Mucosal Biopsies and Endoscopic Ultrasound-Guided Paracentesis.

Endoscopic ultrasound-guided paracentesis can safely assist with diagnosis of invasive lobular breast carcinoma after appropriate consideration of infection-related complications. This is a case of metastatic breast cancer presenting without clinical or radiographic breast findings. The patient presented with nonspecific gastrointestinal symptoms with normal endoscopic appearance, but malignant histology. Endoscopic ultrasound-guided paracentesis aided in the diagnosis of metastatic lobular breast carcinoma and can be integrated into the diagnostic armamentarium of advanced endoscopists. In addition, this case highlights an atypical case of Lynch syndrome presenting with index extraintestinal malignancy.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.