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KMID : 1188520090050010031
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Korean Journal of Clinical Oncology
2009 Volume.5 No. 1 p.31 ~ p.35
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Breast and Ovarian Metastasis of Signet-ring Cell Gastric Cancer
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Byun Kyung-Do
Kim Tae-Hyeon
Choi Chang-Soo
Choi Young-Kil
Hur Chan-Young
Kim Ki-Hoon
Park Jeong-Ik
Kim Kwang-Hee
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Abstract
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Metastatic deposits to the breast from extramammarian tumors are rare. Both ovary and breast metastasis are more rare. A 45-year-old woman who had underwent radical subtotal gastrectomy and gastroduodenal anastomosis 5 years ago visited our hospital due to the obstruction of anastomotic site, the obstruction of left ureter and Krukenberg’s tumor. She underwent stent insertion on anastomotic obstruction, Double J catheter insertion on the obstruction of left ureter and FOLFOX chemotherapy on Krukenberg’s tumor. After 10 cycles chemotherapy, she underwent total hysterectomy and bilateral salphingooophorectomy because of the enlarged size of Krukenberg’s and the pathologic report was metastatic signet ring cell carcinoma. Since palpable masses were felt in both breast after one month she was examined breast ultrasonography so she was reported inflammatory infiltration of both breast. After 3 cycles of Paclitaxel chemotherapy she underwent both modified radical mastectomy so she was pathologically reported metastatic signet ring cell carcinoma. Estrogen and progesterone receptors and c-erbB-2 were negative. Now She is alive and is under consideration additional chemotherapy.
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KEYWORD
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Stomach neoplasms, Breast metastasis
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