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Case Report
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| Small bowel obstruction due to ductal breast cancer metastasis | ||||||
| Marta Reia1, Guilherme Fialho2, Hugo Capote2, Amélia Coelho2, Ilda Barbosa3 | ||||||
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1General Surgery Resident, General Surgery Department, Hospital Doutor José Maria Grande, Av. Santo António, Portalegre, Portugal 2General Surgeon, General Surgery Department, Hospital Doutor JoséMaria Grande, Av. Santo António, Portalegre, Portugal 3Head of Surgery Department, General Surgery Department, Hospital Doutor José Maria Grande, Av. Santo António, Portalegre, Portugal | ||||||
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| How to cite this article |
| Reia M, Fialho G, Capote H, Coelho A, Barbosa I. Small bowel obstruction due to ductal breast cancer metastasis. Case Rep Int 2018;7: 100045CRINTMR2018. |
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ABSTRACT
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The most frequent sites of breast cancer metastasis are the bone, lung and liver. Metastasis to the gastrointestinal tract, central nervous system and adrenal glands are rare, the gastrointestinal tract more frequently with being affected by lobular breast cancer metastasis, and rarely by ductal breast cancer. The case reports a 52-year-old female patient, previously diagnosed with locally advanced ductal breast carcinoma - cT4N+M0, who received neoadjuvant chemotherapy, followed by modified radical mastectomy – ypT2N3aM0 – and adjuvant radiotherapy. During follow-up there were no signs of recurrence, but the patient experienced several episodes of sub-acute intestinal obstruction, which resolved with medical treatment. In 2017, January the patient had another intestinal obstruction, but this time a laparotomy was performed, and two small bowel metastasis were found, which were resected. The pathologic exam revealed metastasis from ductal breast cancer. In the article have we discussed the patterns of breast cancer metastasis, with special consideration for gastrointestinal tract.
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Keywords:
Breast cancer, Diagnosis, Ductal breast cancer, Gastrointestinal metastasis
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Acknowledgements
We would like to acknowledge Dr. Carlos Quintana, our reference Pathologist, for kindly provide the images of histologic specimens Author ContributionsMarta Reia – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Guilherme Fialho – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Hugo Capote – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Amélia Coelho – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Ilda Barbosa – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published |
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Guarantor of Submission
The corresponding author is the guarantor of submission. |
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Source of Support
None |
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Consent Statement
Written informed consent was obtained from the patient for publication of this case report. |
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Conflict of Interest
Authors declare no conflict of interest. |
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Copyright
© 2018 Marta Reia et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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