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- W2978166201 abstract "Purpose: Introduction: Breast cancer, particularly lobular carcinoma, may metastasize to the gastrointestinal tract. Intramural metastases to the esophagus causing long strictures is rare. We describe a patient who developed dysphagia due to a long stricture of the esophagus, secondary to intramural metastatic lobular breast carcinoma. Case Report: A 66 year old female presented with progressive dysphagia to solids of a few months duration. She was diagnosed with lobular breast carcinoma 13 years previously, treated with mastectomy, adjuvant chemotherapy, and tamoxifen. Initial endoscopy, esophagram and CT of the chest were unremarkable. Two months later, repeat endoscopy was performed because of progressive dysphagia. This revealed a mid-esophageal stricture with food impaction proximal to the stricture. The stricture was 5 cm in length, and covered by normal mucosa. Multiple biopsies of the stricture were unremarkable. Repeat CT of the chest showed thickening of the mid to distal esophagus, without mediastinal masses. PET scan showed uptake in the esophagus, and no other areas. EUS showed circumferential hypoechoic thickening of the submucosa and muscularis propria to 6mm with normal mucosa. FNA at time of EUS revealed lobular breast carcinoma ER+ PR+. Discussion: Breast carcinoma, particularly the lobular type, may metastasize to the gastrointestinal tract, including the esophagus. Long esophageal strictures due to intramural metastases of breast cancer is rare, but should be considered in patients with otherwise unexplained esophageal strictures and a past history of breast cancer." @default.
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- W2978166201 date "2009-10-01" @default.
- W2978166201 modified "2023-09-26" @default.
- W2978166201 title "Esophageal Stricture Due to Intramural Metastases of Lobular Breast Carcinoma" @default.
- W2978166201 doi "https://doi.org/10.14309/00000434-200910003-00568" @default.
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