Ann Surg Treat Res.  2018 Feb;94(2):102-105. 10.4174/astr.2018.94.2.102.

Small bowel obstruction from distant metastasis of primary breast cancer: a case report

• Oh SJ
• Park SY
• Kim JY
• Yim H
• Jung Y
• Han SH

• KMID: 2402853
• DOI: http://doi.org/10.4174/astr.2018.94.2.102

Abstract

Gastrointestinal (GI) tract metastasis of primary breast cancer is very rare. We present a patient with small bowel obstruction from distant metastasis of primary breast cancer. Each characteristic features of concern of GI tract distant metastasis from many pervious studies has been reported differently. We should remember that GI tract metastasis may coexist when patients with breast cancer have intermittent or recurrent abdominal pain with or without obstructive symptoms.

Keyword

Abdominal pain; Breast neoplasms; Intestinal obstruction; Local neoplasm recurrence

MeSH Terms

Abdominal Pain
Breast Neoplasms*
Breast*
Gastrointestinal Tract
Humans
Intestinal Obstruction
Neoplasm Metastasis*
Neoplasm Recurrence, Local

Figure

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  Fig. 1 Abdominal CT shown persistent short segmental bowel wall thickening in the distal jejunum (left upper quadrant of the abdomen).

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  Fig. 2 An obstructive jejunal lesion measuring 4.4 cm in length. The mucosa showed an ill-defined, slightly elevated lesion measuring 1.7 cm and the wall was focally thickened measuring 1 cm in thickness.

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  Fig. 3 Microscopic findings of carcinoma cells that infiltrated from the serosal layer to the submucosal layer. Mucosal layer was intact (H&E, ×40).

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  Fig. 4 Metastatic infiltrating lobular carcinomanoted in the submucosal layer of thejejununal specimen (H&E, ×100).

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  Fig. 5 Cancer cells showed a discohesive growth pattern and presented as infiltrating lobular carcinoma (H&E, ×200).

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