[Peritoneal metastasis of breast cancer].
By this paper we present a clinical case of a multiple abdominal metastasing, occuring after 5 years fom a right mamary neoplasm, diagnosed at c-level T2N1M0 treated multidisciplinarily, conservatively operated, sector with axilar ganglionar evidation. Histopathological type of the tumour was invasive lobular mamary carcinoma, weakly differentiated (G3). The prognosis factors for the 2nd generation were negative: the receptors Her2-neu-negative, EGFR negative. The main factors of unfavourable prognosis, in this case, were the differentiating grading G3, the metastasis of the regional limphatic ganglions (2 out of 10 axilary ganglions invaded) knowing that the prognosis would worsen if the number of the axilary ganglions positive was over 3. The peculiarity of the case lies in locating the metastasis at the level of peritoneum with secondary intestinal interest, at a distance of 5 years without the illness. In the mamary cancer, the secondary lesions manifests itself at the osseous, pulmonary, hepatic and cerebral levels.
Firescu
D
D
Clinica a II-a de Chirurgie a Spitalului Clinic de Urgenţă Sf. Apostol Andrei Galaţi.
Ardeleanu
V
V
Rebegea Paraschiv
L
L
Ceauşu
M
M
Ceauşu
M Z
MZ
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D011379:Prognosis; D012307:Risk Factors; D016896:Treatment Outcome