转移性乳腺癌出现消化不良症状:一个病例报告
Chantae Bekai1, Michael Stirling2
1Division of General Surgery, Department of Surgery, McMaster University, St. Catharines, ON, Canada. chantae.bekai@medportal.ca.
Journal of medical case reports
|February 18, 2026
概括
本案例研究突出了一个罕见的侵袭性叶状腺癌 (ILC) 转移到胃的例子,强调需要考虑乳腺癌在无法解释的胃肠道症状的差异诊断中.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 乳腺癌是全球主要的恶性瘤.
- 乳腺癌引起的胃肠道 (GI) 转移很少见,主要发生在侵袭性叶状癌 (ILC) 中.
- 非特异性胃肠道症状往往会延迟ILC转移的诊断.
研究的目的:
- 为了呈现同步原发性乳腺癌和胃转移的病例.
- 要强调在检测消化道转移时的诊断挑战和成像限制.
- 倡导将乳腺癌转移包括在无法解释的胃肠道问题患者的差异诊断中.
主要方法:
- 一个78岁妇女的病例报告,患有慢性消化不良和黑色素.
- 最初的诊断表明主要的胃肠道疾病,对质子抑制剂有所改善.
- 胃活检证实了转移性侵袭性叶膜癌 (ILC);成像显示了骨转移.
主要成果:
- 同步诊断原发性乳腺癌和胃转移.
- 胃活检证实了转移性ILC.
- 图像检查显示有扩散性骨转移.
结论:
- 来自ILC的胃转移带来了诊断复杂性,并挑战了传统的成像.
- 早期识别和准确诊断对于有效治疗和改善患者结果至关重要.
- 在患有非特异性胃肠道症状的患者中考虑乳腺癌转移是一种临床相关的方法.
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