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Scirrhous Colonic Metastasis From Ductal Carcinoma of the Breast

Report of a Case

  • Case Report
  • Published:
Diseases of the Colon & Rectum

Abstract

Metastasis of breast cancer to the colon is rare. We report a case of a 49-year-old female who presented with a stenotic tumor of the descending colon five years after treatment of breast cancer with mastectomy and pedicled transverse rectus abdominis musculocutaneous flap. Laparotomy showed a diffusely infiltrated tumor over the descending colon. Anterior resection with loop ileostomy was performed, and the pathology showed that the colonic wall and the mesentery were diffusely infiltrated with poorly differentiated adenocarcinoma, which stained strongly for cytokeratin 7. The histologic diagnosis is consistent with colonic metastasis from ductal carcinoma of breast origin. In a patient with a history of breast cancer, colonic metastasis from the breast primary cancer should be considered, especially if the colonic lesion is scirrhous in nature. The incision for laparotomy and the probable stoma site should be planned carefully in females after breast reconstructive surgery.

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References

  1. N Agarwal MJ Ulahannan MA Mandile CG Cayten CS Pitchumoni (1986) ArticleTitleIncreased risk of colorectal cancer following breast cancer Ann Surg 203 307–310

    Google Scholar 

  2. S Toma A Giacchero L Bonelli A Graziani R De Lorenzi H Aste (1987) ArticleTitleAssociation between breast and colorectal cancer in a sample of surgical patients Eur J Surg Oncol 13 429–432

    Google Scholar 

  3. MY Rabau RJ Alon N Werbin Y Yossipov (1988) ArticleTitleColonic metastases from lobular carcinoma of the breast Dis Colon Rectum 31 401–402

    Google Scholar 

  4. MS Klein P Sherlock (1972) ArticleTitleGastric and colonic metastases from breast cancer Am J Dig Dis 17 881–886

    Google Scholar 

  5. GS Melnick MJ Rosenholtz (1961) ArticleTitleMetastatic breast carcinoma simulating ulcerative colitis AJR Am J Roentgenol 86 702–706

    Google Scholar 

  6. WP Graham L Goldman (1964) ArticleTitleGastrointestinal metastases from carcinoma of the breast Ann Surg 159 477–479

    Google Scholar 

  7. EJ Balthazar HD Rosenberg MM Davidian (1979) ArticleTitlePrimary and metastatic scirrhous carcinoma of the rectum AJR Am J Roentgenol 132 711–715

    Google Scholar 

  8. AO Fayemi M Ali EV Braun (1979) ArticleTitleMetastatic carcinoma simulating linitis plastica of the colon. A case report Am J Gastroenterol 71 311–314

    Google Scholar 

  9. L Koos RE Field (1980) ArticleTitleMetastatic carcinoma of breast simulating Crohn’s disease Int Surg 65 359–362

    Google Scholar 

  10. EJ Balthazar SE Siegel AJ Megibow J Scholes R Gordon (1995) ArticleTitleCT in patients with scirrhous carcinoma of the GI tract AJR Am J Roentgenol 165 839–845

    Google Scholar 

  11. WJ Cormier TA Gaffey JM Welch JS Welch JH Edmonson (1980) ArticleTitleLinitis plastica caused by metastatic lobular carcinoma of the breast Mayo Clin Proc 55 747–753

    Google Scholar 

  12. JP Papp SuffixJr EJ Levine FB Thomas (1995) ArticleTitlePrimary linitis plastica carcinoma of the colon and rectum Am J Gastroenterol 90 141–145

    Google Scholar 

  13. K Shirouzu H Isomoto T Morodomi Y Ogata Y Akagi T Kakegawa (1994) ArticleTitlePrimary linitis plastica carcinoma of the colon and rectum Cancer 74 1863–1868

    Google Scholar 

  14. MJ Wiersema LM Wiersema ML Kochman (1993) ArticleTitlePrimary linitis plastica of the colon Gastrointest Endosc 39 716–718

    Google Scholar 

  15. T Tot (2000) ArticleTitleThe role of cytokeratins 20 and 7 and estrogen receptor analysis in separation of metastatic lobular carcinoma of the breast and metastatic signet ring cell carcinoma of the gastrointestinal tract APMIS 108 467–472

    Google Scholar 

  16. D Koutsomanis JF Renier R Ollivier A Moran AA el-Haite (2000) ArticleTitleColonic metastasis of breast carcinoma Hepatogastroenterology 47 681–682

    Google Scholar 

  17. B Ghavami GF Maillard P Grutter P Cech (1997) ArticleTitleLaparoscopic cholecystectomy through Prolene mesh after bilateral TRAM flap Plast Reconstr Surg 99 2103–2105

    Google Scholar 

  18. DA Jansen MR Murphy S Aliabadi-Wahle JJ Ferrara (1998) ArticleTitleLaparoscopic incisional hernia repair after transverse rectus abdominis myocutaneous flap reconstruction Plast Reconstr Surg 102 1623–1625

    Google Scholar 

  19. CY Muller RL Coleman WP Adams SuffixJr (2000) ArticleTitleLaparoscopy in patients following transverse rectus abdominis myocutaneous flap reconstruction Obstet Gynecol 96 132–135

    Google Scholar 

  20. JK Williams J Bostwick SuffixIII G Daneker A Fink (1995) ArticleTitleLaparoscopic cholecystectomy following autogenous breast reconstruction with a TRAM flap Surg Endosc 9 719–723

    Google Scholar 

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Authors and Affiliations

    Authors
    1. Wai Lun Law M.B.B.S., M.S., F.R.C.S.(Edinb.)
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    2. Kin Wah Chu M.B.B.S., F.R.C.S.(Edinb.)
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    Law, W.L., Chu, K.W. Scirrhous Colonic Metastasis From Ductal Carcinoma of the Breast. Dis Colon Rectum 46, 1424–1427 (2003). https://doi.org/10.1007/s10350-004-6762-3

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    • DOI: https://doi.org/10.1007/s10350-004-6762-3

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