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Endoscopic Features of Duodenal Metastases from Breast Cancer

Publication ,  Journal Article
LIN, Y; LIU, WT; LIN, H; CHEN, C; CHENG, SH; HUANG, AT; SUNG, J
Published in: Digestive Endoscopy
January 1, 1994

Abstract: The endoscopic appearance of gastrointestinal metastasis from breast cancer is demonstrated in this report. A patient with breast cancer was found by panendoscope examination to have duodenal metastases. The endoscopic characteristic was that of multiple umbilicated submucosal tumors in the bulb and second portion of the duodenum. The imprint cytology of duodenal biopsy specimens, which revealed malignant cells identical to those found in the breast lump aspiration previously, supported the initial endoscopic diagnosis of metastatic breast cancer. The histology of these lesions subsequently revealed many tumor emboli in the mucosal and submucosal lymphatic channels. A laparotomy conducted to perform an intestinal bypass disclosed a large fixed metastatic tumor in the upper retroperitoneum with extension to the mesentery, the mesocolon of the transverse colon and the third portion of the duodenum. The findings at laparotomy and the histologic evidence of tumor emboli in the lymphatics of the mucosal and submucosal layers indicated a retrograde lymphatic spread of the tumor from the large retroperitoneal mass to the duodenal wall. A literature review in this report discusses the differential diagnosis from metastatic disease to second primary malignancy and benign disease of the gastrointestinal system. Copyright © 1994, Wiley Blackwell. All rights reserved

Duke Scholars

Published In

Digestive Endoscopy

DOI

EISSN

1443-1661

ISSN

0915-5635

Publication Date

January 1, 1994

Volume

6

Issue

3

Start / End Page

281 / 286

Related Subject Headings

  • Gastroenterology & Hepatology
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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LIN, Y., LIU, W. T., LIN, H., CHEN, C., CHENG, S. H., HUANG, A. T., & SUNG, J. (1994). Endoscopic Features of Duodenal Metastases from Breast Cancer. Digestive Endoscopy, 6(3), 281–286. https://doi.org/10.1111/j.1443-1661.1994.tb00380.x
LIN, Y. ‐., W. T. LIU, H. ‐. LIN, C. ‐. CHEN, S. H. CHENG, A. T. HUANG, and J. ‐. SUNG. “Endoscopic Features of Duodenal Metastases from Breast Cancer.” Digestive Endoscopy 6, no. 3 (January 1, 1994): 281–86. https://doi.org/10.1111/j.1443-1661.1994.tb00380.x.
LIN Y, LIU WT, LIN H, CHEN C, CHENG SH, HUANG AT, et al. Endoscopic Features of Duodenal Metastases from Breast Cancer. Digestive Endoscopy. 1994 Jan 1;6(3):281–6.
LIN, Y. ‐., et al. “Endoscopic Features of Duodenal Metastases from Breast Cancer.” Digestive Endoscopy, vol. 6, no. 3, Jan. 1994, pp. 281–86. Scopus, doi:10.1111/j.1443-1661.1994.tb00380.x.
LIN Y, LIU WT, LIN H, CHEN C, CHENG SH, HUANG AT, SUNG J. Endoscopic Features of Duodenal Metastases from Breast Cancer. Digestive Endoscopy. 1994 Jan 1;6(3):281–286.
Journal cover image

Published In

Digestive Endoscopy

DOI

EISSN

1443-1661

ISSN

0915-5635

Publication Date

January 1, 1994

Volume

6

Issue

3

Start / End Page

281 / 286

Related Subject Headings

  • Gastroenterology & Hepatology
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences