Year 2024 / Volume 116 / Number 8
Letter
Late recurrence of lobular breast carcinoma presented as gastric metastasis

455-456

DOI: 10.17235/reed.2023.9987/2023

Luis Posado-Domínguez, Luis Figuero Pérez, Laura Corvo-Felix, Pablo Díaz Sánchez, Juan Carlos Redondo-González, Elena Pablo-Martín, César Augusto Rodríguez-Sánchez, Emilio Fonseca-Sánchez,

Abstract
A 81-year-old woman with a history of mild chronic heart failure and invasive lobular breast carcinoma pT2N0M0 diagnosed in 2009 and treated by mastectomy, chemotherapy, radiotherapy and adjuvant endocrine therapy with letrozole until 2016. Since then the patient has been disease-free. She presented to the Emergency Room in April 2023 due to severe postprandial epigastric pain and a 7 kg weight loss in the last 3 months. Abdominal computed tomography was performed showing thickening of the gastric antrum and proximal duodenum walls, peritoneal implants and ascites that suggested primary gastric tumor or lymphoma as the first possibility. An endoscopic ultrasound was schedule, performing a biopsy of the gastric lesion and placing a Hot-Axios® stent. The sample showed infiltration by lobular breast carcinoma CK7 (+), CK20 (-), CDX2 (-), GATA3 (+) GCDFP15 (+) RE (+) RP (-) HER2 (-). Treatment with capecitabine was started, with which it continues currently.
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Posado-Domínguez L, Figuero Pérez L, Corvo-Felix L, Díaz Sánchez P, Redondo-González J, Pablo-Martín E, et all. Late recurrence of lobular breast carcinoma presented as gastric metastasis. 9987/2023


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Publication history

Received: 26/09/2023

Accepted: 29/09/2023

Online First: 26/10/2023

Published: 01/08/2024

Article Online First time: 30 days

Article editing time: 310 days


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