A Case of Breast Cancer Developed Diffuse Infiltrative Liver Metastases 21 Years after Breast Surgery
The case involved a 74-year-old woman who underwent Patey's operation for left breast cancer in 1992, which was invasive lobular carcinoma, T2N2M0, stage IIIA, ER(+) and PgR(+). Despite postoperative endocrine therapy, bone metastasis appeared 4 years after the operation. Her clinical course ha...
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Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 77; no. 6; pp. 1341 - 1346 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese English |
Published |
Japan Surgical Association
2016
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Abstract | The case involved a 74-year-old woman who underwent Patey's operation for left breast cancer in 1992, which was invasive lobular carcinoma, T2N2M0, stage IIIA, ER(+) and PgR(+). Despite postoperative endocrine therapy, bone metastasis appeared 4 years after the operation. Her clinical course had been followed on 5-FU oral administration, and exacerbation of the bone metastasis was noted in 2006. Drip infusion therapy with paclitaxel and zoledronic acid had been given to the patient in our clinic. In 2013, or 21st year after the breast surgery, she complained of general fatigue and easily getting tired. Blood analysis showed a prominent increase in the transaminase level. No demonstrable tumor lesion was revealed on imaging procedures, but her hepatic impairment became worse and she developed DIC. As a result of a hepatic biopsy, diffuse infiltrative liver metastases of invasive lobular carcinoma were diagnosed. Although treatment of the primary disease was done, the patient was already in the condition of hepatic failure and died as short as 16 days after admission or 11 days after the liver biopsy. |
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AbstractList | The case involved a 74-year-old woman who underwent Patey's operation for left breast cancer in 1992, which was invasive lobular carcinoma, T2N2M0, stage IIIA, ER(+) and PgR(+). Despite postoperative endocrine therapy, bone metastasis appeared 4 years after the operation. Her clinical course had been followed on 5-FU oral administration, and exacerbation of the bone metastasis was noted in 2006. Drip infusion therapy with paclitaxel and zoledronic acid had been given to the patient in our clinic. In 2013, or 21st year after the breast surgery, she complained of general fatigue and easily getting tired. Blood analysis showed a prominent increase in the transaminase level. No demonstrable tumor lesion was revealed on imaging procedures, but her hepatic impairment became worse and she developed DIC. As a result of a hepatic biopsy, diffuse infiltrative liver metastases of invasive lobular carcinoma were diagnosed. Although treatment of the primary disease was done, the patient was already in the condition of hepatic failure and died as short as 16 days after admission or 11 days after the liver biopsy. |
Author | TAKESHIMA, Masako KISHIDA, Yukiko MURATA, Yujiro OGATA, Haruki TERASHIMA, Hiroo SHIMOSATO, Ayuko |
Author_xml | – sequence: 1 fullname: TAKESHIMA, Masako organization: Department of Surgery, Tokyo Teishin Hospital – sequence: 2 fullname: SHIMOSATO, Ayuko organization: Department of Surgery, Tokyo Teishin Hospital – sequence: 3 fullname: MURATA, Yujiro organization: Department of Surgery, Tokyo Teishin Hospital – sequence: 4 fullname: OGATA, Haruki organization: Department of Surgery, Tokyo Teishin Hospital – sequence: 5 fullname: TERASHIMA, Hiroo organization: Department of Surgery, Tokyo Teishin Hospital – sequence: 6 fullname: KISHIDA, Yukiko organization: Department of Pathology, Tokyo Teishin Hospital |
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Cites_doi | 10.1038/bjc.1984.135 10.1002/1097-0142(197502)35:2<445::AID-CNCR2820350222>3.0.CO;2-G 10.1186/bcr767 10.1002/(SICI)1098-1004(1998)12:4<226::AID-HUMU2>3.0.CO;2-D 10.1097/PAS.0b013e3181f01916 10.1016/S0140-6736(76)90721-2 |
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Title | A Case of Breast Cancer Developed Diffuse Infiltrative Liver Metastases 21 Years after Breast Surgery |
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