A 46-year-old woman came to our hospital because of dyspnea. Cytology of the pleural effusion was positive for adenocarcinoma. The patient had an irregular tumor measuring 4cm in diameter in her left breast, and a needle biopsy revealed breast carcinoma. Gastrofiberscopy showed an elevated lesion with slight erosion in the body of the stomach along the greater curvature. The pathologic findings in the biopsy specimen were compatible with gastric metastasis from the breast cancer. Axillary lymph node metastasis and multiple bone metastasis were also present. Chemotherapy with cyclophosphmide, epirubicin, and 5-fluorouracil, was effective, and radical mastectomy was performed. The patient is well with slight elevation of tumor markers, 25 months after surgery, We report this case with a discussion of the 18 cases reported in the Japanese literature.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)