title: [Metastatic breast cancer to the stomach: An uncommon evolution of breast carcinoma].
abstract: Breast carcinoma exceptionally leads to metastatic linitis plastica. Distinguishing a breast cancer metastasis to the stomach from a primary gastric cancer on the basis of clinical and radiological signs is very challenging. Thanks to being cognizant of the previous history of invasive lobular carcinoma and the gastric biopsy followed by immunohistochemical analysis, gastric metastasis can be diagnosed. Despite the use of chemotherapy and hormonal therapy, gastric metastasis remains often associated with poor prognosis. We present a case where gastric biopsy allowed a metastatic breast cancer to the stomach to be diagnosed and we discuss its clinical, diagnostic, pathological and therapeutic particularities.
authors.affiliation: Unité de sénologie, pôle de gynécologie-obstétrique, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg cedex, France. Electronic address: carolemarie.hild@chru-strasbourg.fr.
authors.forename: C
authors.initials: C
authors.lastname: Hild
authors.affiliation: Unité de sénologie, pôle de gynécologie-obstétrique, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Talha-Vautravers
authors.affiliation: Centre de pathologie, rempart Saint-Thiébault, BP 30558, 57009 Metz cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Hoefler
authors.affiliation: Service d'hépato-gastro-entérologie des hôpitaux privés de Metz, BP 50008, 57003 Metz cedex 1, France.
authors.forename: S
authors.initials: S
authors.lastname: Zirabe
authors.affiliation: Département de pathologie, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg cedex, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Bellocq
authors.affiliation: Unité de sénologie, pôle de gynécologie-obstétrique, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Mathelin
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology*; D018275:Carcinoma, Lobular / Q000473:pathology / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008039:Linitis Plastica / Q000473:pathology; D008875:Middle Aged; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000556:secondary
keywords: Breast cancer; Cancer de l’estomac; Cancer du sein; Carcinome lobulaire; Gastric cancer; Gastric linitis plastica; Gastric metastasis; Linite; Lobular carcinoma; Métastase gastrique