A Rare Case of Phyllodes Tumor Metastasis to the Stomach Presenting as Anemia
A Rare Case of Phyllodes Tumor Metastasis to the Stomach Presenting as Anemia
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DOI：
10.4143/crt.2016.188
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发表时间：
2017-07-01
影响因子：
4.6
通讯作者：
Lee, Keun Seok
中科院分区：
文献类型：
--
作者：
Choi, Do Ii;Chi, Ho Seok;Lee, Keun Seok
叶状肿瘤转移至胃部是一种极其罕见的疾病，具有重要的临床意义。一名44岁的女性于2008年被诊断出右乳叶状肿瘤，随后于2013年12月16日因头晕到门诊就诊。我们发现她有严重贫血（血红蛋白水平6.7 g/dL），我们很快进行了食管胃十二指肠镜检查以查明原因。该手术显示胃内有大的溃疡性真菌肿块并伴有活动性出血。组织病理学检查显示肿块与叶状肿瘤转移一致。对于表现为贫血的转移性叶状肿瘤患者，胃转移应被视为鉴别诊断之一，因为如果进行细胞毒性化疗，忽视这种可能性可能会产生可怕的后果。
Metastasis of a phyllodes tumor to the stomach is an extremely rare condition with important clinical implications. A 44-year-old woman was initially diagnosed with a phyllodes tumor in her right breast in 2008, and subsequently presented to an outpatient clinic with dizziness on December 16, 2013. We found that she had severe anemia (hemoglobin levels, 6.7 g/dL), and we quickly performed esophagogastro-duodenoscopy to identify the cause. This procedure revealed large ulcerofungating masses with active bleeding in the stomach. Histopathological examination revealed that the masses were consistent with phyllodes tumor metastases. In patients with a metastatic phyllodes tumor presenting as anemia, gastric metastasis should be considered as one of the differential diagnoses because overlooking the possibility might have dire consequences if cytotoxic chemotherapy were administered.