Early detection and treatment of breast cancer, leading to longer survival, has revealed the natural history of this disease process. Linitis plastica of the stomach is a potential long-term sequela of metastatic breast cancer. Here we present a case of metastatic breast cancer presenting as linitis plastica, as well as the treatment algorithm for this rare clinical entity. The world literature describes a clear pattern of linitis plastica for metastatic infiltrating lobular breast cancer and a discrete nodular pattern for infiltrating ductal cancer, in regard to metastasis to the stomach. To our knowledge, this is the first case of infiltrating ductal cancer presenting as linitis plastica of the stomach.
Cormier, WJ, Gaffey, TA, Welch, JM, et al. 1980Linitis plastica caused by metastatic lobular carcinoma of the breastMayo Clin Proc5574753PubMedGoogle Scholar
Elliot, LA, Hall, GD, Perren, TJ, et al. 1995Metastatic breast carcinoma involving the gastric antrum and duodenum: computed tomography appearancesBr J Radiol689702PubMedGoogle Scholar
Ferri, LE, Onerheim, R, Emond, C 1999Linitis plastica as the first indication of metastatic lobular carcinoma of the breast: case report and literature reviewCan J Surg424669PubMedGoogle Scholar
Finch, PJ, Rogers, K, Holt, S 1989Carcinoma of breast presenting as gastric cancer: diagnosis by immunoperoxidase staining patternsJ R Coll Surg Edinb342256PubMedGoogle Scholar
Harris, M, Howell, A, Chrissohou, M, et al. 1984A comparison of the metastatic pattern of infiltrating lobular carcinoma and infiltrating duct carcinoma of the breastBr J Cancer502330PubMedGoogle Scholar
Walker, Q, Bilous, M, Tiver, KW, et al. 1986Breast cancer metastases masquerading as primary gastric carcinomaAust N Z J Surg563958PubMedGoogle Scholar