Metastatic Invasive Lobular Breast Cancer Presenting Clinically with Esophageal Dysphagia
Joint Authors
Laird-Fick, Heather S.
Karapetyan, Lilit
Cuison, Reuben
Source
Case Reports in Oncological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Intra-abdominal metastases of invasive lobular breast cancer (ILBC) may be insidious.
We report a case of metastatic ILBC that presented with dysphagia within weeks of a negative mammogram and before the development of intra-abdominal symptoms.
Case.
A 70-year-old female developed esophageal dysphagia.
She underwent EGD which showed a short segment of stricture of the distal esophagus without significant mucosal changes.
Biopsy was unremarkable and patient underwent lower esophageal sphincter (LES) dilation.
Severe progressive dysphagia led to esophageal impaction and three LES dilatations.
CT scan showed bilateral pleural effusions, more prominent on right side, and ascites.
The pleural effusions were transudative.
Repeat EGD with biopsy showed lymphocytic esophagitis, and she was started on swallowed fluticasone.
Abdominal ultrasound with Doppler showed that the main portal vein had atypical turbulent flow that was felt to possibly be due to retroperitoneal process.
The patient underwent diagnostic laparoscopy which revealed diffuse punctate lesions on the peritoneum.
Pathology was consistent with metastatic ILBC.
Conclusion.
Dysphagia in the setting of peritoneal carcinomatosis from metastatic ILBC is a rare finding.
The case highlights the importance of metastatic ILBC as a differential diagnosis for female patients with progressive dysphagia and associated ascites or pleural effusions.
American Psychological Association (APA)
Karapetyan, Lilit& Laird-Fick, Heather S.& Cuison, Reuben. 2017. Metastatic Invasive Lobular Breast Cancer Presenting Clinically with Esophageal Dysphagia. Case Reports in Oncological Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147822
Modern Language Association (MLA)
Karapetyan, Lilit…[et al.]. Metastatic Invasive Lobular Breast Cancer Presenting Clinically with Esophageal Dysphagia. Case Reports in Oncological Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147822
American Medical Association (AMA)
Karapetyan, Lilit& Laird-Fick, Heather S.& Cuison, Reuben. Metastatic Invasive Lobular Breast Cancer Presenting Clinically with Esophageal Dysphagia. Case Reports in Oncological Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147822
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147822