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gastric metastasis of Atypical Medullary Carcinoma from Breast:a Case Report

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Chinese Medical Sciences Journal 2012年第2期27卷 121-124页

作者： Bo Jin Yan-ping Liu Hai-jiang Wang Qi-shan Wang Department of Gastroenteropathy Surgery Xinjiang Medical UniversityUrumchi 830011China ICU Third Affiliated Hospital(XinjiangTumor Hospital)Xinjiang Medical UniversityUrumchi 830011China

METASTATIC gastric tumors are clinically uncommon,and metastatic gastric cancer from breast cancer was rarely *** we report a case of gastric metastasis of atypical medullary carcinoma from breast.

关键词： gastric metastasis breast cancer atypical medullary carcinoma

gastric metastasis by lung small cell carcinoma

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World Journal of Gastroenterology 2006年第25期12卷 4096-4097页

作者： Giovanni Casella Camillo Di Bella Antonino Roberto Cambareri Carmelo Antonio Buda Gianluigi Corti Filippo Magri Stefano Crippa Vittorio Baldini Department of Medicine Desio Hospital DesioMilanItaly Pathology Department Desio Hospital DesioMilanItaly Surgery Department Desio Hospital DesioMilanItaly Oncology Department Università di Messina MessinaItaly

Metastatic tumors of the gastrointestinal tract are rare. We describe a case of gastric metastasis due to primary lung cancer, revealed by an upper gastrointestinal endoscopy （UGIE）. Haematogenous metastases to the stomach are a rare event. To our knowledge, only 55 cases have been described in the international literature. In these patients, the prognosis is very poor. We report herein a case of gastric metastasis by lung small cell carcinoma, with a review of the literature about this rare entity.

关键词： gastric metastasis Lung cancer

Understanding gastric metastasis of small cell lung carcinoma:Insights from case reports and clinical implications

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World Journal of Gastroenterology 2024年第47期30卷 5092-5096页

作者： Nhi Thi Y Nguyen Thang Viet Luong Dat Xuan Nguyen Linh Duy Le Hai Nguyen Ngoc Dang Department of Internal Medicine University of Medicine and PharmacyHue UniversityHue 530000Viet Nam Faculty of Medicine Duy Tan UniversityDa Nang 550000Viet Nam

Small cell lung cancer(SCLC)is a common type of primary lung cancer that contributes to approximately 15%of *** is closely associated with tobacco risk *** is also known as a type of lung cancer that has a high mortality rate within a short time due to its rapid growth rate(with tumor doubling time of 30 days)and its tendency to metastasize early in the disease *** primary sites of metastasis in SCLC are similar to those in other primary lung cancers and often include the brain,bones,adrenal glands,liver,and lymph ***,there are a few clinical reports of uncommon metastases,such as gastric metastasis from *** the incidence of this clinical presentation is very low,reported cases have generally resulted in early mortality due to inadequate *** purpose of this letter is to discuss the knowledge related to gastric metastasis from SCLC and remind clinical doctors not to miss atypical symptoms,thereby providing the right attitude to improve the prognosis for these patients.

关键词： gastric metastasis Small cell lung cancer Primary lung cancer Immunohistochemistry Clinical cases

gastric metastasis of small cell lung carcinoma:A rare but noteworthy entity to consider

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World Journal of Clinical Oncology 2024年第10期15卷 1379-1382页

作者： Cemal Ugur Dursun Ahmet Oguz Tugcu Galip Dogukan Dogru Department of Radiation Oncology Kartal Dr.Lutfi Kirdar City Hospitalİstanbul 34865Türkiye Department of Radiation Oncology Gulhane Training and Research HospitalAnkara 06010Türkiye

Small cell lung carcinoma(SCLC)is an aggressive malignancy known for its propensity for early and extensive metastatic *** metastasis,where cancer cells disseminate from the lung to the stomach,is a rare but increasingly recognized complication of *** review provides a comprehensive overview of gastric metastasis in SCLC,addressing its clinical significance,diagnostic challenges,management strategies,and ***,it examines the broader metastatic patterns of SCLC and compares them with other malignancies known for gastric *** metastasis in SCLC,though infrequent,is clinically significant and often indicates advanced disease with a poor *** typically metastasizes to the liver,brain,bones,and adrenal glands,with the stomach being an unusual *** incidence of gastric meta-stasis ranges from 1%to 5%in autopsy studies,although this may be underes-timated due to diagnostic difficulties and asymptomatic early *** gastric metastasis presents several challenges,including the asymptomatic nature of many cases,limitations of conventional imaging techniques,and difficulties in distinguishing metastatic lesions from primary gastric cancer via *** diagnosis requires careful examination to identify SCLC cells through their characteristic small cell morphology and neuroendocrine *** of gastric metastasis in SCLC typically involves a multidisciplinary *** therapy,pri-marily chemotherapy,remains the cornerstone of treatment,with palliative care addressing symptoms and *** intervention is usually reserved for specific cases requiring symptomatic *** prognosis for patients with gastric metastasis from SCLC is generally poor,reflecting the advanced stage of the *** survival is significantly re-duced compared to patients without gastric *** review emphasizes the need for enhanced awareness and early detection to

关键词： Lung cancer Small cell lung cancer gastric metastasis metastasis Rare metastasis

Metastatic gastric cancer from breast carcinoma presenting with paraneoplastic rheumatic syndrome:A case report

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World Journal of Clinical Cases 2023年第14期11卷 3282-3287页

作者： Marília Bortoluz Rech Eduarda Renz da-Cruz Karina Salgado Raul Angelo Balbinot Silvana Sartori Balbinot Jonathan Soldera School of Medicine Universidade de Caxias do SulCaxias do Sul 95070-560Rio Grande do SulBrazil Department of Pathology ICAP PathologyCaxias do Sul 95020-002Rio Grande do SulBrazil Department of Clinical Gastroenterology Universidade de Caxias do SulCaxias do Sul 95070-560Rio Grande do SulBrazil

BACKGROUND Breast cancer is the most frequently diagnosed cancer *** is the leading cause of death by malignant disease in *** SUMMARY A female patient,73 years of age,sought care due to weakness,mild abdominal pain,arthralgia,and weight *** was taking anastrazole as maintenance therapy for localized breast cancer and had moderate anemia and elevated acutephase *** digestive endoscopy showed isolated erosion in the gastric *** lesion was compatible with signet-ring cell adenocarcinoma in anatomopathological study and was confirmed as metastasis of a breast carcinoma in immunohistochemistry,which was positive for estrogen *** imaging studies determined numerous proximal bone *** patient was treated with prednisone for paraneoplastic syndrome,which improved the anemia and rheumatic disease,and with chemotherapy,which greatly improved the *** has been followed-up for 6 mo,and her anemia,arthralgias,and acute phase markers have *** Systemic treatment strategies seem to be the best choice for gastric metastasis from breast cancer,resulting in disease control and relapse-free *** studies with longer follow-up are needed to better understand the biological,pathological,and clinicopathological characteristics and outcomes of the endoscopic features associated with metastatic gastric cancer from breast carcinoma.

关键词： Breast cancer gastric metastasis Anemia Paraneoplastic syndrome Case report

Combined gastroscopic and laparoscopic resection of gastric metastatic adenosquamous carcinoma from lung: A case report

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World Journal of Gastrointestinal Surgery 2024年第9期16卷 3065-3073页

作者： Yin Lin Yi-Long Wu Dong-Dong Zou Xiao-Long Luo Shi-Yan Zhang Department of Gastroenterology Fuding HospitalFujian University of Traditional Chinese MedicineFuding 355200Fujian ProvinceChina Department of Proctology Fuding HospitalFujian University of Traditional Chinese MedicineFuding 355200Fujian ProvinceChina Department of Clinical Laboratory Fuding HospitalFujian University of Traditional Chinese MedicineFuding 355200Fujian ProvinceChina

BACKGROUND Primary lung cancer is the leading cause of cancer-related death *** metastatic sites include the brain,liver,bones,and adrenal ***,gastric metastases from lung cancer are *** case may be the first report of a combined gastroscopic and laparoscopic resection for gastric metasta-tic adenosquamous carcinoma(ASC).CASE SUMMARY We report a case of gastric metastasis from lung *** patient was a 61-year-old Han Chinese female who first attended our hospital complaining of a per-sistent cough,leading to the diagnosis of advanced-stage lung *** more than four years of chemotherapy,the patient began to experience epi-gastric *** was performed,and pathological examination of biopsy specimens confirmed that the gastric lesion was a metastasis from lung *** lesion was successfully resected by combined gastroscopy and *** examination of the resected gastric specimen revealed *** gastric metastases from lung cancer are ***,histological and immunohistochemical staining are useful for diagnosing metastatic *** management may provide extended survival in appropriately selected patients.

关键词： Primary lung cancer gastric metastasis Endoscopic submucosal dissection Laparoscopic surgery Adenosquamous carcinoma Case report

Breast cancer metastasis to the stomach

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Journal of Cancer metastasis and Treatment 2019年第4期4卷 38-55页

作者： Francesco D'Angelo Alessia Rampini Silvia Cardella Laura Antolino Giuseppe Nigri Stefano Valabrega Paolo Aurello Giovanni Ramacciato U.O.C.of General Surgery "Sapienza"Universitàdi RomaSant'Andrea University HospitalRome 00189Italy

Aim: This study focuses on the stomach as an unusual but not rare site of metastasis of breast cancer. Methods: We performed a literature search on gastric metastasis from breast cancer searching for reviews from 2000 to 2018 and case reports from 2013 to 2018. We found 11 reviews and 36 case reports and we compared their findings about important aspects of gastric metastasis, such as disease free survival, overall survival, symptoms, endoscopic findings, therapy, histology, and immunohistochemistry. Results: The incidence of stomach as site of metastasis of breast cancer ranges from 5% to 18%. Reviews and case reports reached similar conclusions about several of the aforementioned aspects: invasive lobular breast cancer (ILC) is mainly responsible for gastric metastases;disease free survival can vary greatly ranging from 0.5 months to 30 years;gastric metastases usually present with non-specific symptoms, even though five patients in case reports were asymptomatic;linitis plastica is the most common endoscopic finding;immunohistochemistry is essential for differentiating primary gastric cancer from metastasis;the preferred treatment is systemic therapy, but surgery is still an option in case of emergency;median overall survival of patients with gastric metastasis from breast cancer is 24 months. Conclusion: Breast metastasis to the stomach should be considered in any patient suspecting gastric neoplasm previously treated for breast carcinoma, especially if the treated carcinoma was ILC.

关键词： gastric metastasis breast cancer immunohistochemistry stomach

Small cell lung carcinoma metastatic to the stomach: Commonly overlooked, limited treatment options

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World Journal of Gastroenterology 2024年第48期30卷 5198-5204页

作者： Terence N Moyana Diagnostic and Molecular Pathology The Ottawa Hospital and University of OttawaOttawa K1H 8L6OntarioCanada

Small cell lung carcinoma metastatic to the stomach,whether synchronous or metachronous,is a rare phenomenon accounting for<0.5%of lung *** it can be overlooked by clinicians resulting in delayed *** manuscript comments on Yang et al’s article which reported 3 such *** main diagnostic features are based on routine morphology comprised of small cells with hyperchromatic nuclei,scant cytoplasm,brisk mitoses and *** can be supplemented by immunohistochemistry demonstrating positivity for cytokeratin,thyroid transcription factor-1 and neuroendocrine markers as well as a high Ki-67 labelling *** modalities such as positron emission tomography/contrast computed tomography help to confirm lung origin and rule out the possibility of extra-pulmonary small cell *** predominant mechanism of spread is most likely *** is generally poor since this represents stage 4 disease but survival can be improved by chemo/ra-diotherapy and palliative surgery in select *** outcomes have not changed much in the last several decades,the recent Food and Drug Adminis-tration approval of immune checkpoint inhibitors was a significant milestone as was the delineation of small cell lung carcinoma molecular *** biopsies are increasingly being used for biomarker studies in clinical trials to assess treatment response and prognosis.

关键词： gastric metastasis Small cell lung carcinoma Histopathology Immuno-histochemistry Positron emission tomography/contrast computed tomography Chemo-radiotherapy Immunotherapy Surgery Biomarkers Clinical trials