Case report

https://doi.org/10.20471/acc.2021.60.01.20

A Case of Infiltrating Lobular Carcinoma of the Breast with Gastric Metastasis 22 Years after Initial Surgery

Mohammad Hanafiah ; Radiology Department, Sunway Medical Centre, Bandar Sunway, Selangor, Malaysia; Department of Radiology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia
Sabrilhakim Sidek orcid.org/0000-0001-6652-9861 ; Department of Radiology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia
Soo Fin Low orcid.org/0000-0002-1663-2374 ; Radiology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Chai Soon Ngiu ; Gastroenterology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Abstract

Gastric metastasis from breast carcinoma is uncommon and rarely encountered in
our daily practice. We report a case of late gastric metastasis from previous infiltrating lobular carcinoma
of the breast. The patient had extended disease-free interval of 22 years prior to metastasis.
Gastroscopy and fluoroscopy showed changes appearing like linitis plastica of the body of the stomach.
Computed tomography of the thorax and abdomen demonstrated pulmonary metastasis and
mediastinal lymphadenopathy. Biopsy of the mediastinal lymph node and stomach lesion confirmed
metastatic adenocarcinoma from breast carcinoma based on immunohistochemistry staining. Immunohistochemistry
staining of both specimens revealed strong positivity for cytokeratin 7 and negative
for cytokeratin 20.

Keywords

Gastric metastasis; Linitis plastica; Breast carcinoma; Computed tomography; Barium meal

Hrčak ID:

259961

URI

https://hrcak.srce.hr/259961

Publication date:

1.3.2021.

Article data in other languages: croatian

Visits: 1.472 *