Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 9064-9070
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.9064
Gastrointestinal metastasis secondary to invasive lobular carcinoma of the breast: A case report
Li-Xi Li, Di Zhang, Fei Ma
Li-Xi Li, Di Zhang, Fei Ma, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Author contributions: Ma F determined the treatment plan; Li LX and Zhang D contributed to the discussion and interpretation of data for this article; Ma F conducted a critical revision; all the authors contributed to the preparation of this work, and read and approved the article.
Informed consent statement: The patients provided written informed consent for publication of details concerning this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript has been prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fei Ma, MD, Chief Physician, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuannan Road, Chaoyang District, Beijing 100021, China. drmafei@126.com
Received: April 30, 2022
Peer-review started: April 30, 2022
First decision: May 30, 2022
Revised: June 14, 2022
Accepted: August 1, 2022
Article in press: August 1, 2022
Published online: September 6, 2022
Processing time: 117 Days and 23.8 Hours
Abstract
BACKGROUND

Gastrointestinal metastasis of breast cancer is rare, and clinicians may not have previously encountered this disease in clinical practice.

CASE SUMMARY

We report a patient with invasive lobular carcinoma of the breast who developed gastrointestinal metastasis two years after modified radical surgery. Mild elevation of carbohydrate antigen 15-3 was observed in the patient at an early stage; however, diagnosis and treatment were delayed due to non-specific clinical manifestations and no identifiable metastasis observed on imaging.

CONCLUSION

Clinicians should pay attention to gastrointestinal metastasis of breast cancer, especially invasive lobular carcinoma of the breast.

Keywords: Breast cancer; Invasive lobular carcinoma; Gastrointestinal metastasis; Biomarkers; Tumor; Case report

Core Tip: Gastrointestinal metastasis of breast cancer should be vigilant when tumor markers are elevated or when patients have digestive symptoms such as abdominal distention and defecation difficulties of unknown cause. Early detection, diagnosis, and treatment are needed to prevent disease progression and complications.