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2018, Number 6

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Rev Med Inst Mex Seguro Soc 2018; 56 (6)

Metastasis of ductal carcinoma of the breast in the esophagus. Case report

Ramírez-González LD, Juárez-Aguilar FG

Language: Spanish
References: 15
Page: 562-565
PDF size: 1401.04 Kb.


ABSTRACT

Background: Invasive breast cancer is the most common carcinoma in women, 23% of all cancers in the world. It is classified according to its histological pattern and expression of immunohistochemical markers; 75% are ductal type. The incidence of metastasis is 10 to 80% of the cases according to their immunophenotype, the main sites of metastasis are bone, visceral and brain.
Clinical case: A 64 years old lady with a history of radical left mastectomy due to unspecified breast cancer in 2000, received chemotherapy, radiation therapy and tamoxifen. After her discharge from hospital, the patient remained unattended. In 2014 she started with dysphagia, in 2016 was documented esophageal stricture by panendoscopy, three endoscopic dilations were performed, in the last one she presented incidental perforation. An esophagectomy was performed; the pathological study reported metastasis of ductal carcinoma of the breast.
Conclusions: Ductal carcinoma of the breast rarely metastasizes to the digestive tract but, its probability must have this and insist on monitoring of patients after their cancer treatment.


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