Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach
A 55-year-old woman presented with persistent nausea, vomiting, and weight loss previously attributed to Ménétrier’s disease. On further workup, she was found to have metastatic lobular breast carcinoma causing gastric outlet obstruction, diagnosed by endoscopic ultrasound with fine needle aspiratio...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/2820352 |
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| author | Laura L. Ulmer Ian Cormier Lokesh K. Jha Shailender Singh Kurt W. Fisher Alexander T. Hewlett |
| author_facet | Laura L. Ulmer Ian Cormier Lokesh K. Jha Shailender Singh Kurt W. Fisher Alexander T. Hewlett |
| author_sort | Laura L. Ulmer |
| collection | DOAJ |
| description | A 55-year-old woman presented with persistent nausea, vomiting, and weight loss previously attributed to Ménétrier’s disease. On further workup, she was found to have metastatic lobular breast carcinoma causing gastric outlet obstruction, diagnosed by endoscopic ultrasound with fine needle aspiration after previous gastric mucosal biopsies were unremarkable. In most reported cases of gastric metastasis from breast cancer, a diagnosis was established by mucosal biopsy. This case is an important reminder that mucosal biopsies can be negative in about 20% of patients with gastric metastasis, which may lead to a delay in diagnosis and treatment. Gastroenterologists should be diligent in taking deeper biopsies if there is a suspicion for gastric metastasis. |
| format | Article |
| id | doaj-art-c0ea828bf9734003b08cdc9242f10b6e |
| institution | OA Journals |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-c0ea828bf9734003b08cdc9242f10b6e2025-08-20T02:19:23ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/28203522820352Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the StomachLaura L. Ulmer0Ian Cormier1Lokesh K. Jha2Shailender Singh3Kurt W. Fisher4Alexander T. Hewlett5Department of Gastroenterology and Hepatology, University of Nebraska Medical Center, 982000 Nebraska Medical Center, Omaha, NE 68198-2000, USADepartment of Internal Medicine, University of Nebraska Medical Center, 42nd and Emile Street, Omaha, NE 68198-6805, USADepartment of Gastroenterology and Hepatology, University of Nebraska Medical Center, 982000 Nebraska Medical Center, Omaha, NE 68198-2000, USAInternal Medicine Division of Gastroenterology-Hepatology, 982000 Nebraska Medical Center, Omaha, NE 68198-2000, USADepartment of Pathology and Microbiology, University of Nebraska Medical Center, 986805 Nebraska Medical Center, Omaha, NE 68198-6805, USAInternal Medicine Division of Gastroenterology-Hepatology, University of Nebraska Medical Center, 982000 Nebraska Medical Center, Omaha, NE 68198-2000, USAA 55-year-old woman presented with persistent nausea, vomiting, and weight loss previously attributed to Ménétrier’s disease. On further workup, she was found to have metastatic lobular breast carcinoma causing gastric outlet obstruction, diagnosed by endoscopic ultrasound with fine needle aspiration after previous gastric mucosal biopsies were unremarkable. In most reported cases of gastric metastasis from breast cancer, a diagnosis was established by mucosal biopsy. This case is an important reminder that mucosal biopsies can be negative in about 20% of patients with gastric metastasis, which may lead to a delay in diagnosis and treatment. Gastroenterologists should be diligent in taking deeper biopsies if there is a suspicion for gastric metastasis.http://dx.doi.org/10.1155/2018/2820352 |
| spellingShingle | Laura L. Ulmer Ian Cormier Lokesh K. Jha Shailender Singh Kurt W. Fisher Alexander T. Hewlett Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach Case Reports in Gastrointestinal Medicine |
| title | Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach |
| title_full | Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach |
| title_fullStr | Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach |
| title_full_unstemmed | Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach |
| title_short | Use of Endoscopic Ultrasound in a Diagnostic Dilemma: Metastatic Breast Cancer to the Stomach |
| title_sort | use of endoscopic ultrasound in a diagnostic dilemma metastatic breast cancer to the stomach |
| url | http://dx.doi.org/10.1155/2018/2820352 |
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