AI Summary & Key Takeaways
AI InsightTo our knowledge, this is the first case in the literature in whom sigmoid colon metastasis due to a medullary cancer of breast developed, although metastasis from other types of breast cancer to the colon is reported.
📌 3 Key Takeaways
Abstract
Common sites of breast cancer metastasis include the lungs, the central nervous system, liver, bones, soft tissue and adrenal glands. The colon is the rarest site of metastasis for the breast carcinoma. We here report the case of an 81-year-old woman who presented with a bowel obstruction related to a colonic metastasis of breast cancer occurring 15 years after a modified radical mastectomy for right breast medullary carcinoma. She was immediately operated. During operation stiff fibrotic tissue in the level of obstruction on sigmoid colon and, subtotal colectomy was performed. Diagnosis was made by histopatologic examination. Postoperatively she was not eligible to receive adjuvant therapy because of additional diseases. At the follow-up, eleven months after, there is no evidence of recurrence or metastasis. To our knowledge, this is the first case in the literature in whom sigmoid colon metastasis due to a medullary cancer of breast developed, although metastasis from other types of breast cancer to the colon is reported.
Özet
Meme kanseri en sık akciğerler, santral sinir sistemi, karaciğer, kemikler, yumuşak doku ve adrenal bezlere metastaz yapar. Meme kanserinin kolona metastazı oldukça nadirdir. Bu yazıda, sağ meme medüller kanseri nedeniyle modifiye radikal mastektomi yapıldıktan 15 yıl sonra kolon metastaza bağlı barsak obstrüksiyonu gelişen 81 yaşındaki kadın olgu sunuldu. Hasta acilen operasyona alındı. Operasyonda, sigmoid kolon üzerinde obstrüksiyon seviyesinde sert fibrotik bir doku saptandı ve subtotal kolektomi, mikulicz kolostomi ve kolesistektomi uygulandı. Tanı histopatolojik inceleme ile kondu. Eşlik eden hastalıkları nedeniyle postoperatif dönemde hastaya adjuvan tedavi uygulanamadı. Onbir aylık takip sonunda, nüks ve metastaz saptanmadı. Meme kanserinin diğer tiplerinin kolon metastazları bildirilmişse de, bilgilerimize göre sigmoid kolona metastaz yapmış medüller meme kanserli bu olgu literatürdeki ilk olgudur.