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KMID : 0371320080740010076
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Journal of the Korean Surgical Society
2008 Volume.74 No. 1 p.76 ~ p.78
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Solitary Duodenal Metastasis from Breast Cancer
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Park Kyung-Hwan
Bae Jin-Sun
Chia Byung-Doe
Hong Kyung-Min
Lee Chae-Won
Lee Sang-Il
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Abstract
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A 65-year-old female patient experienced melena for 10 days. Gastroduodenoscopy revealed a tumor in the duodenum, a portion of which was taken for biopsy, which showed a malignant tumor. She underwent pancreatoduodenectomy, and the final tumor pathology revealed invasive ductal carcinoma from the breast, which was confirmed using immunostaining of milk fat globule antigens. Nineteen years before, she had received a radical mastectomy due to invasive ductal carcinoma of the right breast. Hematogenous metastasis occurs in 33% of patients with breast cancer, mainly to the liver and lung, in invasive ductal carcinoma (IDC), and to the gastrointestinal tract, peritoneum, and retroperitoneum in invasive lobular carcinoma (ILC). Solitary metastatic duodenal tumors from breast cancer, especially IDC, is rare, particularly after a long time. This rare case is presented with a literature review. (J Korean Surg Soc 2008;74:76-78)
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KEYWORD
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Duodenal cancer, Metastasis, Breast cancer
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