Year 2024 / Volume 116 / Number 7
Letter
Ileal metastasis from phyllodes breast tumor

396-397

DOI: 10.17235/reed.2023.9958/2023

Montserrat Rovira Argelagués, Javier Navarro Guisado, Anabela Brunás, Damián Caballero, Ana Carolina Sánchez Guachizaca, Gabriel José Urdaneta Salegui, Marc Cubel Brun, Carlos Hoyuela,

Abstract
We present the case of a 72-year-old woman with a history of right radical mastectomy due to the Phyllodes Tumor. Two months later, she went to the emergency room for intestinal occlusion. Analytically, she had anemia and thrombocytopenia. The abdominal tomography noticed signs of occlusion of the small bowell and injury of 5cm at the pericaecal level. Urgent exploratory laparotomy was performed and objectified distal ileum attached to the cecum with signs of irreversible ischemia, so an ileocaecal resection was performed with ileo-colonic anastomosis. In the postoperative period she presented paralytic ileus and paraneoplastic syndrome with bicytopenia refractory to corticosteroid treatment. To rule out abdominal complications, abdominal tomography was performed on the 5th day post-op that confirmed the integrity of the anastomosis and absence of signs of mechanical occlusion. The patient's evolution was unfavorable, went on to exitus on the 14th day. The anatomopathological study diagnosed metastasis of malignant Phyllodes Tumor at the ileal level.
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References
1. C. Wu and K. Ye “Small intestinal metástasis combined with intusussception after surgery for breast tumor” Asian Journal of Surgery 45 (2022) 1605-1606
2. Valerie Cui Yun Koh, Aye Aye Thike, Puay Hoon Tan “Distant metastases in phyllodes tumours of the breast: an overview” Applied Cancer Research (2017) 37:15
3. Basem B Morcos, Bilal Baker, Sameh A Hashem “Ileocecal intussuspection secondary to metástasic phyllodes tuour of the breast” Ann R Coll Surg Engl (2010) 92
Citation tools
Rovira Argelagués M, Navarro Guisado J, Brunás A, Caballero D, Sánchez Guachizaca A, Urdaneta Salegui G, et all. Ileal metastasis from phyllodes breast tumor. 9958/2023


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Publication history

Received: 14/09/2023

Accepted: 14/09/2023

Online First: 26/10/2023

Published: 08/07/2024

Article Online First time: 42 days

Article editing time: 298 days


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