Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

Localized Metastasis to Small and Large Bowel from Breast Cancer: A Case Report

소장과 대장에만 전이를 보인 유방암: 증례 보고

  • Shim, Jae-Ho (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Son, Eun-Ju (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lim, Beom-Jin (Department of Diagnostic Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Youk, Ji-Hyun (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Jeong-Ah (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Jeong, Joon (Department of General Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 심재호 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 손은주 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 임범진 (연세대학교 의과대학 강남세브란스병원 해부병리과) ;
  • 육지현 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 김정아 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 정준 (연세대학교 의과대학 강남세브란스병원 외과)
  • Received : 2009.11.25
  • Accepted : 2010.02.16
  • Published : 2010.06.01
⟨ Previous Next ⟩

Abstract

Breast cancer is one of the most common malignancies in women and the main leading cause of cancer death. Breast cancer frequently metastasizes to the bones, lungs, and liver; however, gastrointestinal involvement is rare. The most frequent sites of the GI tract involved are the stomach and the small intestine, while colonic metastasis is extremely rare with the presentation being nonspecific. Early diagnosis is important for proper treatment. We present a case of metastatic breast cancer to the small and large bowel.

유방암은 여성들에 있어서 유병률이 가장 높은 암 중의 하나이자 암으로 인한 사망의 주요 원인이다. 유방암은 주로 뼈, 폐, 그리고 간으로 전이를 보인다. 그러나 위장관 전이는 상대적으로 드물다. 위장관 전이에서 상대적으로 흔한 곳은 위와 소장이지만 대장으로의 전이는 매우 드물고 그 임상증세는 비특이적이다. 적절한 치료를 위해서는 조기에 정확한 진단이 중요하다. 저자는 유방암의 전이가 소장과 대장에만 국한된 증례를 보고 하고자 한다.

Keywords

References

  1. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, et al. Cancer statistics, 2008. CA: Cancer J Clin 2008;58:71-96 https://doi.org/10.3322/CA.2007.0010
  2. Schwarz RE, Klimstra DS, Turnbull AD. Metastatic breast cancer masquerading as gastrointestinal primary. Am J Gastroenterol 1998;93:111-114 https://doi.org/10.1111/j.1572-0241.1998.111_c.x
  3. Taal BG, den Hartog Jager FC, Steinmetz R, Peterse H. The spectrum of gastrointestinal metastases of breast carcinoma: II. The colon and rectum. Gastrointest Endosc 1992;38:136-141 https://doi.org/10.1016/S0016-5107(92)70378-2
  4. Rabau MY, Alon RJ, Werbin N, Yossipov Y. Colonic metastases from lobular carcinoma of the breast. Dis Colon Rectum 1988;31: 401-402 https://doi.org/10.1007/BF02564897
  5. Asch MJ, Wiedel PD, Habif DV. Gastrointestinal metastases from carcinoma of the breast. Arch Surg 1968;96:840-843 https://doi.org/10.1001/archsurg.1968.01330230148023
  6. Borst MJ, Ingold JA. Metastatic patterns of invasive lobular versus invasive ductal carcinoma of the breast. Surgery 1993;114:637-641
  7. Washington K, McDonagh D. Secondary tumors of the gastrointestinal tract: surgical pathologic findings and comparison with autopsy survey. Mod Pathol 1995;8:427-433
  8. Cifuentes N, Pickren JW. Metastases from carcinoma of mammary gland: an autopsy study. J Surg Oncol 1979;11:193-205 https://doi.org/10.1002/jso.2930110303
  9. Graham WP 3rd, Goldman L. Gastro-intestinal metastases from carcinoma of the breast. Ann Surg 1964;159:477-480 https://doi.org/10.1097/00000658-196403000-00026
  10. Clavien PA, Laffer U, Torhost J, Harder F. Gastro-intestinal metastases as first clinical manifestation of the dissemination of a breast cancer. Eur J Surg Oncol 1990;16:121-126