一种隐藏的乳腺癌病例,最初的症状是肠道阻塞
Zijuan Wang1, Lin Tang2, Xiaohui Huang3
1Department of Breast Surgery, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou Hunan 412007. 1048865455@qq.com.
概括
隐性乳腺癌 (OBC) 可能会出现不寻常的症状,如肠道阻塞. 这次罕见的演讲强调了与OBC相关的诊断挑战和不良预后,强调需要高度的临床怀疑.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 隐性乳腺癌 (OBC) 的诊断是在没有检测到原发性乳腺病变时进行的.
- 来自OBC的胃肠道转移很少见,可以掩盖初步诊断.
- 肠道阻塞是OBC的一个不常见的初始表现.
研究的目的:
- 报告一种罕见的OBC临床病例,表现为肠道阻塞.
- 突出OBC的诊断困难和不良预后.
- 强调在患有无法解释的胃肠道症状和转移性疾病的患者中考虑OBC的重要性.
主要方法:
- 一个67岁的女性患有肠道阻塞的病例报告.
- 诊断工作包括对比增强CT,结肠镜,乳腺MRI和免疫组织化学.
- 对直肠病变和转移性淋巴结进行了手术切除和组织病理学检查.
主要成果:
- 最初的表现是肠道阻塞由于直肠和结肠的加厚.
- 手术后的病理学发现差异化腺癌,免疫组织化学表明乳腺起源 (ER+,PR+,GATA3+,CK7+).
- 乳房MRI显示结节 (BI-RADS 2),活检证实了大和关节淋巴结中的转移性癌症,没有发现原发性乳房病变.
结论:
- 患有胃肠道转移的OBC由于异常呈现而难以诊断.
- 怀疑的高指数对于早期识别原发性乳腺损伤至关重要.
- 快速进展和多器官参与导致OBC的预后不佳.
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