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- Title
A case study of pyloric stenosis caused by metastatic lobular carcinoma of breast.
- Authors
Yoshida, Taizo; Shimada, Akihiko; Matsumoto, Koichi; Inukai, Michiko; Hashimoto, Ryo; Matsuda, Mutsuhito; Nishi, Tomohiko; Seki, Hiroaki; Sakata, Michio; Matsumoto, Hidetoshi
- Abstract
Metastasis to the gastrointestinal tract is rare. A 59-year-old woman who had a history of an invasive lobular carcinoma of breast with clinical complete response visited our hospital and complained of an upper abdominal pain and distension. We performed an upper gastrointestinal endoscopy which showed only a gastric ulcer without any malignant findings. She experienced a recurrence of symptoms 2 months after this visit. An endoscopy revealed pyloric stenosis, which did not improve with balloon dilatation. We performed a gastro-jejunal and cecal-transverse colonic bypass surgery. Diffuse wall thickening of the antrum was verified during the surgery, and a biopsy sample was collected. The diagnosis of gastric metastasis from breast was confirmed since it showed the same immunohistochemistry pattern as the prior breast lesion. Pyloric stenosis has still been confirmed with an endoscopy, she has been alive with satisfactory oral food intake for >10 years.
- Subjects
LOBULAR carcinoma; PYLORIC stenosis; STOMACH ulcers; GASTROINTESTINAL system; METASTASIS; FOOD consumption; JEJUNOILEAL bypass
- Publication
Journal of Surgical Case Reports, 2023, Vol 2023, Issue 12, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjad691