Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation

Breast cancer is the most frequent cancer among women. Gastrointestinal tract metastases are uncommon and might be misidentified as primary carcinoma.A noteworthy case-study involved 53-year-old-woman complaining from epigastric pain, ascites and overall health decline. Initial investigations were i...

Full description

Saved in:
Bibliographic Details
Main Authors: Shema Ayadi, Souhir Monastiri, Amine Ben Safta, Mehdi Hammami, Imen Samaali, Mehdi Kammoun, Ahlem Blel, Raoudha Aloui, Yosra Zaimi, Leila Mouelhi
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Future Science OA
Subjects:
Online Access:https://www.tandfonline.com/doi/10.2144/fsoa-2023-0182
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849716249389432832
author Shema Ayadi
Souhir Monastiri
Amine Ben Safta
Mehdi Hammami
Imen Samaali
Mehdi Kammoun
Ahlem Blel
Raoudha Aloui
Yosra Zaimi
Leila Mouelhi
author_facet Shema Ayadi
Souhir Monastiri
Amine Ben Safta
Mehdi Hammami
Imen Samaali
Mehdi Kammoun
Ahlem Blel
Raoudha Aloui
Yosra Zaimi
Leila Mouelhi
author_sort Shema Ayadi
collection DOAJ
description Breast cancer is the most frequent cancer among women. Gastrointestinal tract metastases are uncommon and might be misidentified as primary carcinoma.A noteworthy case-study involved 53-year-old-woman complaining from epigastric pain, ascites and overall health decline. Initial investigations were inconclusive, prompting laparoscopic peritoneal biopsies which revealed independent cell proliferation. Subsequently, a second look upper digestive endoscopy showed multiple gastric ulcerations suggestive of gastric carcinoma. Histologic examination confirmed independent cell proliferation with estrogen receptors expression, a characteristic feature of breast carcinoma. Further investigations led to bilateral invasive lobular breast carcinoma diagnosis. Epirubicin cycophosphamide was prescribed after progression under letrozole ribocilib therapy.This case aims to raise awareness among clinicians about the importance of ruling out breast cancer in patients with peritoneal carcinosis and paying attention to digestive symptoms in breast cancer patients with careful gastric endoscopic examination to avoid misdiagnosis.
format Article
id doaj-art-7a65ccd145814916968cdfd7f3bb7d2f
institution DOAJ
issn 2056-5623
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Future Science OA
spelling doaj-art-7a65ccd145814916968cdfd7f3bb7d2f2025-08-20T03:13:04ZengTaylor & Francis GroupFuture Science OA2056-56232024-12-0110110.2144/fsoa-2023-0182Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentationShema Ayadi0Souhir Monastiri1Amine Ben Safta2Mehdi Hammami3Imen Samaali4Mehdi Kammoun5Ahlem Blel6Raoudha Aloui7Yosra Zaimi8Leila Mouelhi9Gastroenterology Department, Charles Nicolle university hospital, Tunis, TunisiaGastroenterology Department, Charles Nicolle university hospital, Tunis, TunisiaSurgery B Department, Charles Nicolle university hospital, Tunis, TunisiaSurgery B Department, Charles Nicolle university hospital, Tunis, TunisiaSurgery B Department, Charles Nicolle university hospital, Tunis, TunisiaSurgery B Department, Charles Nicolle university hospital, Tunis, TunisiaPathology Department, Charles Nicolle university hospital, Tunis, TunisiaPathology Department, Charles Nicolle university hospital, Tunis, TunisiaGastroenterology Department, Charles Nicolle university hospital, Tunis, TunisiaGastroenterology Department, Charles Nicolle university hospital, Tunis, TunisiaBreast cancer is the most frequent cancer among women. Gastrointestinal tract metastases are uncommon and might be misidentified as primary carcinoma.A noteworthy case-study involved 53-year-old-woman complaining from epigastric pain, ascites and overall health decline. Initial investigations were inconclusive, prompting laparoscopic peritoneal biopsies which revealed independent cell proliferation. Subsequently, a second look upper digestive endoscopy showed multiple gastric ulcerations suggestive of gastric carcinoma. Histologic examination confirmed independent cell proliferation with estrogen receptors expression, a characteristic feature of breast carcinoma. Further investigations led to bilateral invasive lobular breast carcinoma diagnosis. Epirubicin cycophosphamide was prescribed after progression under letrozole ribocilib therapy.This case aims to raise awareness among clinicians about the importance of ruling out breast cancer in patients with peritoneal carcinosis and paying attention to digestive symptoms in breast cancer patients with careful gastric endoscopic examination to avoid misdiagnosis.https://www.tandfonline.com/doi/10.2144/fsoa-2023-0182breast cancerGI tractlobular breast carcinomametastasesperitoneal carcinosis
spellingShingle Shema Ayadi
Souhir Monastiri
Amine Ben Safta
Mehdi Hammami
Imen Samaali
Mehdi Kammoun
Ahlem Blel
Raoudha Aloui
Yosra Zaimi
Leila Mouelhi
Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation
Future Science OA
breast cancer
GI tract
lobular breast carcinoma
metastases
peritoneal carcinosis
title Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation
title_full Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation
title_fullStr Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation
title_full_unstemmed Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation
title_short Gastric metastasis and peritoneal carcinosis revealing primary breast cancer: an unusual presentation
title_sort gastric metastasis and peritoneal carcinosis revealing primary breast cancer an unusual presentation
topic breast cancer
GI tract
lobular breast carcinoma
metastases
peritoneal carcinosis
url https://www.tandfonline.com/doi/10.2144/fsoa-2023-0182
work_keys_str_mv AT shemaayadi gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT souhirmonastiri gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT aminebensafta gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT mehdihammami gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT imensamaali gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT mehdikammoun gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT ahlemblel gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT raoudhaaloui gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT yosrazaimi gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation
AT leilamouelhi gastricmetastasisandperitonealcarcinosisrevealingprimarybreastcanceranunusualpresentation