在上部胃肠道内镜诊断的转移性乳腺癌
Annabelle Xiao Hui Lim1,2, Rwth Ellis-Owen3, Meleri Morgan4
1School of Medicine, Cardiff University School of Medicine, Cardiff, UK.
BMJ case reports
|February 25, 2025
概括
一个罕见的乳腺癌转移病例呈现为胃癌症状,强调了在胃肠癌诊断中考虑异常呈现的重要性. 这一发现对于准确的诊断和治疗计划至关重要.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 一个积极的便免疫化学测试和肠道习惯的变化促使对胃肠道 (GI) 癌症进行了调查.
- 结肠镜检查由于先前的子宫切除术造成的粘结,未能成功,因此需要采用替代诊断方法.
研究的目的:
- 为了调查胃异常加厚的原因和暗示肠道癌症的症状.
- 为了确定在胃中发现的癌的起源.
主要方法:
- 计算机断层扫描 (CT) 扫描腹部.
- 上部胃肠道 (GI) 内镜与活检.
- 胃瘤和同步乳腺组织的免疫组织化学测试.
主要成果:
- 电脑扫描显示胃变厚;上部肠道内镜和活检证实了侵袭性差分化癌.
- 免疫组织化学显示,胃癌的形状与患者的乳腺癌相匹配 (雌激素受体阳性,人体表皮生长因子受体阴性2).
- 结果证实了乳腺转移性侵袭性叶状腺癌在胃中呈现.
结论:
- 这一案例突出了乳腺癌转移到胃的不寻常表现.
- 准确的免疫组织化学分析对于诊断罕见的转移模式至关重要.
- 临床医生应考虑转移性乳腺癌在无法解释的上部肠道异常的差异性诊断.
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