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.
Share Button
New comment
Comments
No comments for this article
References
1. Pedersen, R. N., Esen, B. Ö., Mellemkjær, L., Christiansen, P., Ejlertsen, B., Lash, T. L., Nørgaard, M., & Cronin-Fenton, D. (2022). The incidence of breast cancer recurrence 10-32 years after primary diagnosis. Journal of the National Cancer Institute, 114(3), 391–399. https://doi.org/10.1093/jnci/djab202
2. Birla R, Dinu D, Iosif C, Constantinoiu S. Gastric Metastasis of Invasive Lobular Breast Carcinoma, a Current Diagnostic and Treatment Challenge - A Review. Chirurgia (Bucur). 2019 Sept-Oct;114(5):571-578. doi:10.21614/chirurgia.114.5.571.
3. Cerrella Cano C, Junquera Alonso E, Terroba Alonso M, Cáceres Pieter CE, Parapar Álvarez L, Soto Sánchez J, Pérez Corte D. Upper gastrointestinal bleeding secondary to late gastric metastasis of renal cell carcinoma. Rev Esp Enferm Dig. 2023 Jan;115(1):50-51. doi: 10.17235/reed.2022.8910/2022.
4. Zarrilli, G., Angerilli, V., Cappellesso, R., Galuppini, F., Pennelli, G., Farinati, F., Nicolè, L., Savarino, E., Realdon, S., Griguolo, G., Bottosso, M., Dieci, M. V., Guarneri, V., Dei Tos, A. P., Lo Mele, M., & Fassan, M. (2022). Gastric metastases of breast cancer: Histopathological and molecular characterization of a single Institution case series. Pathology, Research and Practice, 233(153872), 153872. https://doi.org/10.1016/j.prp.2022.153872.
5. Bonacho T, Rodrigues F, Liberal J. Immunohistochemistry for diagnosis and prognosis of breast cancer: a review. Biotech Histochem. 2020 Feb;95(2):71-91. doi: 10.1080/10520295.2019.1651901.
Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 529 visits.
This article has been downloaded 43 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology