Colonic metastasis of breast carcinoma.
Metastasis of breast carcinoma to the colon is a rare occurrence. We report here the case of a 65-year-old patient who presented a stenosing tumor of breast origin, located in the right colon. Some of the regional lymph nodes were infiltrated but no distant metastasis were detected. The primary breast lesion was a 4-cm infiltrating adenocarcinoma, operated 4 years earlier. Surgical removal of the lesion was followed by Endoxan-Epirubicin and 5-Fluororacil chemotherapy and the patient remained disease-free during the 3 years of follow-up. We could find only 2 similar cases reported in the world literature until now. Profound anemia in a patient with a past history of breast carcinoma may indicate colonic metastasis; treatment should be surgery followed by chemotherapy.
Unité Médico-Chirurgicale Digestive, Centre Hospitalier, Fecamp, France. Dimitri.Koutsomanis@univ-rouen.fr
D
D
Koutsomanis
J F
JF
Renier
R
R
Ollivier
A
A
Moran
A A
AA
el-Haite
D000230:Adenocarcinoma / Q000556:secondary*; D000740:Anemia / Q000209:etiology; D001943:Breast Neoplasms / Q000473:pathology*; D003110:Colonic Neoplasms / Q000556:secondary*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged