[Solitary oesophageal metastasis of breast cancer after 17 years latency].
The authors discuss a case of a 63-year-old woman, who presented with dysphagia, 17 years after radical mastectomy for breast cancer. CT scan showed a juxta esophageal mediastinal tumour. A biopsy via right thoracotomy revealed a metastatic adenocarcinoma of the oesophageal wall from the previous breast carcinoma. Minimally invasive oesophageal intubation was used for palliation. Hormonal manipulation and radiotherapy was commenced postoperatively. The patient was well after eight months follow-up. A combination of high clinical suspicion with EUS and deep oesophageal biopsy can lead to the correct diagnosis of this very rare clinical entity. The biology of metastatic breast cancer may demand palliation by oesophageal intubation or stenting combined with adjuvant chemo, radio or hormonal therapy in such instances.
Hetényi Géza Kórház, 5003 Szolnok. dockhouse@chello.hu
Ottó
O
Kovács
Lajos
L
Kotsis
Géza
G
Krasznai
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary*; D000077384:Anastrozole; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001706:Biopsy; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003679:Deglutition; D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D004947:Esophagus; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007440:Intubation; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009570:Nitriles / Q000627:therapeutic use; D010166:Palliative Care / Q000379:methods*; D018714:Radiotherapy, Adjuvant; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014230:Triazoles / Q000627:therapeutic use
D018931:Antineoplastic Agents, Hormonal; D009570:Nitriles; D014230:Triazoles; D000077384:Anastrozole