Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature
Identifieur interne : 005235 ( Ncbi/Curation ); précédent : 005234; suivant : 005236Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature
Auteurs : Massimo Ambroggi [Italie] ; Elisa Maria Stroppa [Italie] ; Patrizia Mordenti [Italie] ; Claudia Biasini [Italie] ; Adriano Zangrandi [Italie] ; Emanuele Michieletti [Italie] ; Elena Belloni [Italie] ; Luigi Cavanna [Italie]Source :
- International Journal of Breast Cancer [ 2090-3170 ] ; 2012.
Abstract
Luminal gastrointestinal (GI) metastases from breast cancer are rare, reports are fragmentary and poor. The purposes of this study are to assess the gastrointestinal involvement from breast cancer in a retrospective study at a single institution and reviewing the related literature. Between January 2007 and December 2011 a total of 980 patients with breast cancer were treated at our institution, patients' records and report database were analysed. Institutional Review Board approval was obtained for this study. A search of the literature using PubMed, CancerLit, Embase, was performed. Selected for the present review were papers published in English before June 2012. Five of 980 patients (0.5%) showed gastrointestinal metastases from breast cancer, 3 patients had gastric involvement, 1 jejunum, and 1 rectum. Reviewing the literature, 206 patients affected by gastrointestinal metastasis from breast cancer were identified: the most frequent site of metastasis was the stomach (60%). The majority of the patients underwent chemotherapy and endocrine therapy, someone surgery and radiotherapy. GI metastases from breast cancer are rare, but possible, and a very late recurrence can also occur. Cyto-histological diagnosis is mandatory, to differentiate GI metastases from breast cancer to other diseases and to allow an adequate treatment.
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DOI: 10.1155/2012/439023
PubMed: 23091732
PubMed Central: 3471430
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Saliceto”, Via Taverna 49, CAP 29121 Piacenza, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oncology and Hematology, Oncology Unit, Azienda Ospedaliera “Guglielmo da Saliceto”, Via Taverna 49, CAP 29121 Piacenza</wicri:regionArea><wicri:noRegion>CAP 29121 Piacenza</wicri:noRegion></affiliation></author><author><name sortKey="Mordenti, Patrizia" sort="Mordenti, Patrizia" uniqKey="Mordenti P" first="Patrizia" last="Mordenti">Patrizia Mordenti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oncology and Hematology, Oncology Unit, Azienda Ospedaliera “Guglielmo da Saliceto”, Via Taverna 49, CAP 29121 Piacenza, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oncology and Hematology, Oncology Unit, Azienda Ospedaliera “Guglielmo da Saliceto”, Via Taverna 49, CAP 29121 Piacenza</wicri:regionArea><wicri:noRegion>CAP 29121 Piacenza</wicri:noRegion></affiliation></author><author><name 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Via Taverna 49, CAP 29121 Piacenza, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology, Azienda Ospedaliera “Guglielmo da Saliceto”, Via Taverna 49, CAP 29121 Piacenza</wicri:regionArea><wicri:noRegion>CAP 29121 Piacenza</wicri:noRegion></affiliation></author><author><name sortKey="Cavanna, Luigi" sort="Cavanna, Luigi" uniqKey="Cavanna L" first="Luigi" last="Cavanna">Luigi Cavanna</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oncology and Hematology, Oncology Unit, Azienda Ospedaliera “Guglielmo da Saliceto”, Via Taverna 49, CAP 29121 Piacenza, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oncology and Hematology, Oncology Unit, Azienda Ospedaliera “Guglielmo da Saliceto”, Via Taverna 49, CAP 29121 Piacenza</wicri:regionArea><wicri:noRegion>CAP 29121 Piacenza</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Breast Cancer</title><idno type="ISSN">2090-3170</idno><idno type="eISSN">2090-3189</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Luminal gastrointestinal (GI) metastases from breast cancer are rare, reports are fragmentary and poor. The purposes of this study are to assess the gastrointestinal involvement from breast cancer in a retrospective study at a single institution and reviewing the related literature. Between January 2007 and December 2011 a total of 980 patients with breast cancer were treated at our institution, patients' records and report database were analysed. Institutional Review Board approval was obtained for this study. A search of the literature using PubMed, CancerLit, Embase, was performed. Selected for the present review were papers published in English before June 2012. Five of 980 patients (0.5%) showed gastrointestinal metastases from breast cancer, 3 patients had gastric involvement, 1 jejunum, and 1 rectum. Reviewing the literature, 206 patients affected by gastrointestinal metastasis from breast cancer were identified: the most frequent site of metastasis was the stomach (60%). The majority of the patients underwent chemotherapy and endocrine therapy, someone surgery and radiotherapy. GI metastases from breast cancer are rare, but possible, and a very late recurrence can also occur. Cyto-histological diagnosis is mandatory, to differentiate GI metastases from breast cancer to other diseases and to allow an adequate treatment.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Schwarz, Re" uniqKey="Schwarz R">RE Schwarz</name></author><author><name sortKey="Klimstra, Ds" uniqKey="Klimstra D">DS Klimstra</name></author><author><name sortKey="Turnbull, Adm" uniqKey="Turnbull A">ADM Turnbull</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nazareno, J" uniqKey="Nazareno J">J Nazareno</name></author><author><name sortKey="Taves, D" uniqKey="Taves D">D Taves</name></author><author><name sortKey="Preiksaitis, Hg" uniqKey="Preiksaitis H">HG Preiksaitis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Washington, K" uniqKey="Washington K">K Washington</name></author><author><name sortKey="Mcdonagh, D" uniqKey="Mcdonagh D">D 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