Occult carcinoma of the breast masquerading as primary adenocarcinoma of the small intestine. A case report.

Abstract:

:A fifty-year-old woman with abdominal pain, diarrhea, and weight loss ultimately required exploratory laparotomy. The entire small intestine was extensively infiltrated by poorly differentiated adenocarcinoma; mesenteric lymph nodes and surrounding omentum were involved, but no extragastrointestinal tumor was found. A presumptive diagnosis of unresectable primary carcinoma of the small bowel was made. Chemotherapy was initiated with 5-fluorouracil 300 mg/m2/day by continuous intravenous infusion. Nine months later a left breast mass with multiple ipsilateral axillary and supraclavicular lymph nodes developed; biopsy revealed a poorly differentiated adenocarcinoma morphologically identical to the tumor involving her small bowel. In spite of breast irradiation and systemic hormonal therapy, the patient deteriorated rapidly and died from progressive metastatic disease.

journal_name

J Clin Gastroenterol

authors

Hansen RM,Lewis JD,Janjan NA,Komorowski RA

doi

10.1097/00004836-198804000-00023

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

213-7

issue

2

eissn

0192-0790

issn

1539-2031

journal_volume

10

pub_type

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