Gastric Metastasis from Breast Cancer

So Yoon Yoon; Ki-Nam Shim

doi:10.4166/kjg.2013.61.1.54

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Yoon and Shim: Gastric Metastasis from Breast Cancer

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Korean J Gastroenterol 2013;61(1):54-57.

Published online: 4 October 2013

DOI: https://doi.org/10.4166/kjg.2013.61.1.54

Gastric Metastasis from Breast Cancer

So Yoon Yoon, Ki-Nam Shim

Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea

Correspondence to: Ki-Nam Shim, Department of Internal Medicine, Ewha Womans University School of Medicine, 911-1 Mokdong, Yangcheon-gu, Seoul 158-710, Korea. Tel: +82-2-2650-2632, Fax: +82-2655-2076, E-mail: shimkn@ewha.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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Fig. 1.

Abdominal CT and PET-CT findings. (A) Diffuse wall thickening and enhancement (black arrow) were seen on the fundus. (B) It showed fluorodeoxyglucose uptake in the stomach and fundus (black circle), maximum standardized uptake value of 5.2.

Fig. 2.

Initial esophagogastroduodenoscopic finding. Congestive nodularity with hemorrhagic spot (white arrows) was seen on the fundus.

Fig. 3.

Microscopic findings of the gastric biopsy. (A) It showed diffuse infiltrated adenocarcinoma with signet ring cell feature, consistent with metastatic lobular carcinoma with signet ring cell feature from the breast (H&E, ×200). (B) In additional estrogen receptor immunohistochemical stain, it revealed positive finding (Estrogen receptor, ×200).

Fig. 4.

Microscopic findings of the breast biopsy. (A) It was composed of non-cohesive cells individually dispersed in single-file linear patterns,‘Indian files', in fibrous stroma (H&E, ×200). (B) There was no detection of E-cadherin expression, and it was compatible with invasive lobular carcinoma (E-cadherin, ×200).

Fig. 5.

One year follow-up esophagogastroduodenoscopic findings. (A) At the fundus, nodular elevated lesion with enlarged thichkened folds was seen without significant interval change. (B) It showed irregular nodularity in narrow band image.

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