青岛大学学报(医学版)2024,Vol.60Issue(5) :775-777.DOI:10.11712/jms.2096-5532.2024.60.150

胃转移性乳腺浸润性小叶癌1例并文献复习

Invasive lobular carcinoma of the breast with gastric metastasis:a case report and literature review

陈召旭 王笑 赵鹏 赵静 付广明 王成勤
青岛大学学报(医学版)2024,Vol.60Issue(5) :775-777.DOI:10.11712/jms.2096-5532.2024.60.150

胃转移性乳腺浸润性小叶癌1例并文献复习

Invasive lobular carcinoma of the breast with gastric metastasis:a case report and literature review

陈召旭 1王笑 2赵鹏 2赵静 2付广明 2王成勤1
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作者信息

  • 1. 青岛大学附属医院病理科,山东青岛 266000;青岛大学医学部基础医学院病理学系,山东青岛 266000
  • 2. 青岛大学附属医院病理科,山东青岛 266000
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摘要

目的 探讨胃转移性乳腺浸润性小叶癌(ILC)的临床病理特征及诊断要点.方法 分析1例胃转移性ILC病人的临床病理特征、免疫表型及临床表现,并复习相关文献.结果 本文病人既往有胃低分化腺癌病史,1年后发现左乳包块,经穿刺活检诊断为ILC.结合病史、胃黏膜和乳房穿刺活检以及免疫组织化学检查结果,最终诊断为胃转移性ILC.结论 ILC胃转移较为罕见.当有ILC病史的病人出现胃低黏附性癌且不伴有原位癌时,应考虑ILC胃转移的可能性,并可通过胃镜检查、活检及免疫组织化学染色加以鉴别.

Abstract

Objective To investigate the clinicopathological features and key diagnostic points of invasive lobular carcinoma(ILC)of the breast with gastric metastasis.Methods One ILC patient with gastric metastasis was analyzed in terms of clinico-pathological features,immunophenotypes,and clinical manifestations,and related articles were reviewed.Results A female pa-tient,aged 45 years,who had a previous history of poorly differentiated gastric adenocarcinoma was found to have a mass in the left breast one year later and was diagnosed with ILC by aspirationbiopsy.Based on medical history,aspirationbiopsy of gastric mucosa and breast,and immunohistochemistry,the patient was finally diagnosed with ILC with gastric metastasis.Conclusion ILC with gastric metastasis is relatively rare.The possibility of gastric metastasis of ILC should be considered when a patient with the history of ILC is found to have low-adhesion gastric carcinoma without carcinoma in situ,and gastroscopy,biopsy,and immunohis-tochemical staining can be used for differential diagnosis.

关键词

乳腺肿瘤/肿瘤转移/胃肿瘤/诊断,鉴别/免疫组织化学/病例报告

Key words

breast neoplasms/neoplasm metastasis/stomach neoplasms/diagnosis,differential/immunohistochemistry/case reports

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出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
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