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Image of the Month—Diagnosis
Arch Surg. 2009;144(10):974.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Answer: Small-Bowel Metastasis From Infiltrating Lobular Breast Cancer
Abdominal computed tomography (Figure 1) shows partial small-bowel obstruction at the midjejunal level with proximal dilated loops and distal collapsed small bowel.
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Figure 1. Transition zone between proximal dilated small bowels (large arrow) and distal collapsed ones (small arrow).
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The pathology of the small bowel (Figure 2) revealed evidence of metastatic lobular breast cancer as the cause of the transition zone and bowel obstruction. The Tru-cut needle biopsy of the right breast mass was diagnostic for invasive lobular carcinoma of the breast. The patient's breast cancer was found to be estrogen- and progesterone-receptor positive and human epidermal growth factor 2 negative. There was no evidence of further metastatic disease on an extent-of-disease evaluation of the patient.
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Figure 2. Image shows metastatic lobular carcinoma cells (double-headed arrow) infiltrating the mucosa and submucosa of the small bowel. Residual crypts with Paneth cells (long arrow) and goblet cells (short . . . [Full Text of this Article]
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Arch Surg. 2009;144(10):973.
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