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Lobular breast carcinoma with colonic metastases: A synchronous diagnosis in a 4-day period

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dc.contributor.author Albero-González, Raquel
dc.contributor.author Gimeno Beltran, Javier
dc.contributor.author Vázquez‐de las Heras, Ivonne
dc.contributor.author Martínez-Orfila, Joan
dc.contributor.author Seoane-Urgorri, Agustín
dc.contributor.author Naranjo‐Hans, Dolores
dc.contributor.author Corominas Torres, Josep Maria
dc.contributor.author Iglesias Coma, Mar
dc.contributor.author Alameda Quitllet, Francisco
dc.date.accessioned 2016-12-02T08:53:45Z
dc.date.available 2016-12-02T08:53:45Z
dc.date.issued 2016
dc.identifier.citation Albero-González R, Gimeno-Beltrán, J, Vázquez‐de las Heras I, Martínez-Orfila J, Seoane-Urgorri A, Naranjo‐Hans D. et al. Lobular breast carcinoma with colonic metastases: A synchronous diagnosis in a 4-day period. Human Path Case Reports (2016), http://dx.doi.org/10.1016/j.ehpc.2016.05.001
dc.identifier.issn 2214-3300
dc.identifier.uri http://hdl.handle.net/10230/27681
dc.description.abstract Lobular breast carcinoma involving the colon is a rare condition. In most cases reported in the literature, metastases are detected after a 20-year latency period after the initial diagnosis. Here we describe a case in which metastatic lobular breast carcinoma and colonic metastasis were simultaneously diagnosed—with only 4 days between the two diagnoses. A 55-year-old woman underwent mammography and colonoscopy in the setting of the National Cancer Screening Program. A malignant nodule in the left breast was detected, and core-biopsy revealed an invasive lobular carcinoma. Simultaneously, numerous intestinal micropolyps were sampled. Histological examination of the latter showed tumor cells growing in cords and presenting signet-ring appearance, thereby confirming metastatic breast carcinoma. In cases such as the one described here, pathological diagnosis can be extremely difficult and deep biopsies are required. Metastatic breast cancer involving the colon can be considerably underestimated because of the unspecificity of the clinical manifestations, the long latency period, and diverse radiological findings that can lead to misdiagnosis. We conclude that clinicians should rule out intestinal metastasis in patients diagnosed with breast cancer, especially the lobular type, and presenting non-specific abdominal symptoms.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.rights c) Elsevier This is the published version of an article http://dx.doi.org/10.1016/j.ehpc.2016.05.001, that appeared in the journa lHuman Pathology: Case Reports. This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/)
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.other Còlon -- Càncer
dc.subject.other Mama -- Càncer
dc.title Lobular breast carcinoma with colonic metastases: A synchronous diagnosis in a 4-day period
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.ehpc.2016.05.001
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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