[乳腺癌晚期复发伴胃癌转移术后 35 年的病例]。

Q4 Medicine Japanese Journal of Cancer and Chemotherapy Pub Date : 2024-10-01
Yukiya Kishimoto, Ryou Yamanokuchi, Yoshihiro Uchino, Satoki Kojima, Hiroko Kinoe, Hiroto Ishikawa, Masayuki Okabe, Yutaro Mihara, Uhi Toh, Fumihiko Fujita
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引用次数: 0

摘要

一位 82 岁的妇女在 35 年前因右侧乳腺癌接受了乳房切除术,来我院就诊时主诉全身不适和呼吸困难。胸部 CT 扫描发现右侧胸腔积液和多处骨转移。上消化道内镜检查发现胃中部皱褶处有一个小隆起,根据病理诊断和免疫染色结果,诊断为乳腺癌转移灶。患者为三阴性乳腺癌,尽管年事已高,但仍开始接受多西他赛治疗。胸腔积液消失,肿瘤标志物水平恢复正常,治疗得以继续。在此,我们报告了一例乳腺癌术后 35 年晚期复发并伴有胃转移的病例。
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[A Case of Late Recurrence of Breast Cancer with Gastric Metastasis 35 Years after Surgery].

An 82-year-old woman, who underwent a mastectomy for right breast cancer 35 years ago, presented to our hospital with a chief complaint of general malaise and dyspnea. A chest CT scan revealed a right pleural effusion and multiple bone metastases. Upper gastrointestinal endoscopy revealed a small bulge in the mid gastric fold, which was diagnosed as a metastatic breast cancer lesion, based on pathological diagnosis and immunostaining findings. The patient had triple-negative breast cancer and was started on docetaxel therapy despite her advanced age. The pleural effusion disappeared, tumor marker levels normalized, and treatment was continued. Here, we report a case of late recurrence of breast cancer with gastric metastasis 35 years postoperatively.

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