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Korean Journal of Clinical Oncology > Volume 5(1); 2009 > Article
CASE REPORT
Korean J Clin Oncol. 2009;5(1): 31-35.         doi: https://doi.org/10.14216/kjco.09006
Breast and Ovarian Metastasis of Signet-ring Cell Gastric Cancer
Kyung Do Byun, Chang Young Hur, Ki Hoon Kim, Jeong Ik Park, Kwang Hee Kim, Tae Hyun Kim, Chang Soo Choi, Young Kil Choi
Department of Surgery, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea
Signet-ring 세포형 위암의 유방과 난소 전이
변경도, 허찬영, 김기훈, 박정익, 김광희, 김태현, 최창수, 최영길
인제대학교 의과대학 부산백병원 외과학교실
Corresponding Author: Kwang Hee Kim ,Tel: +82-51-890-6850, Fax: +82-51-898-9427, Email: inwoodog@naver.com
Received: April 2, 2009;  Accepted: April 26, 2009.
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ABSTRACT
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.
Keywords: Stomach neoplasms | Breast metastasis
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