Abstract
Since they are rare and often latent, gastric metastases from breast cancer, principally lobular, are difficult to diagnose particularly at the isolated stage. The primitive and non specific nature of their symptomatology and the negativity of endoscopic biopsies should lead to early explorative laparotomy. Surgery is often palliative to reduce tumor load and seldom involves complete excision, and can only hope to obtain prolonged survival if followed by chemotherapy, hormone therapy or indeed radiotherapy. Following a recent personal case a review of the worldwide literature was carried out and the principal pathogenic hypotheses were analysed.
MeSH terms
-
Antineoplastic Combined Chemotherapy Protocols / therapeutic use
-
Breast Neoplasms / pathology*
-
Breast Neoplasms / therapy
-
Carcinoembryonic Antigen / analysis
-
Combined Modality Therapy
-
Cyclophosphamide / administration & dosage
-
Doxorubicin / administration & dosage
-
Female
-
Fluorouracil / administration & dosage
-
Gastroscopy
-
Humans
-
Middle Aged
-
Mitomycins / administration & dosage
-
Mitoxantrone / administration & dosage
-
Omentum / pathology
-
Omentum / surgery
-
Radiography
-
Stomach Neoplasms / diagnostic imaging
-
Stomach Neoplasms / secondary*
-
Stomach Neoplasms / therapy
-
Tamoxifen / therapeutic use
-
Vindesine / administration & dosage
Substances
-
Carcinoembryonic Antigen
-
Mitomycins
-
Tamoxifen
-
Doxorubicin
-
Cyclophosphamide
-
Mitoxantrone
-
Vindesine
-
Fluorouracil
Supplementary concepts
-
CAF protocol
-
VMMc protocol