{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:11:36Z","timestamp":1777918296404,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tumori"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Gastrointestinal metastases from breast cancer are rare. One large series reported a rate of 0.7% of gastrointestinal metastatic manifestations from breast cancer, but its true incidence could be underestimated. Here we report a case of bowel obstruction caused by sigmoid metastases from breast cancer and describe its relevance to histological origin and clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical course and histopathology of the case are reviewed and compared with reports of similar cases in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An 80-year-old woman presented with bowel obstruction. Her medical history included infiltrating lobular breast cancer treated with left radical mastectomy 25 years before the current presentation; 13 years later bone metastases developed and were treated with hormone therapy. In 2003 the patient came to our emergency department because of symptoms of bowel obstruction. A computed tomography (CT) scan revealed a mass in the distal sigmoid causing the obstruction. A colostomy was performed, followed by a second operation completed with Hartmann's procedure. Histological examination revealed metastases from invasive lobular carcinoma. The patient was discharged 45 days postoperatively and died 9 months later because of disease progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although gastrointestinal metastases from breast cancer are rare, patients with diagnosed breast cancer, particularly invasive lobular carcinoma, should be regularly followed up with endoscopy, CT, endosonography and PET-CT when abdominal symptoms are present. This could permit early diagnosis of gastrointestinal metastases and improve treatment planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/030089161109700619","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T04:23:29Z","timestamp":1519705409000},"page":"800-804","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Obstructive Colon Metastases from Lobular Breast Cancer: Report of a Case and Review of the Literature"],"prefix":"10.1177","volume":"97","author":[{"given":"Massimiliano","family":"Mistrangelo","sequence":"first","affiliation":[{"name":"Department of Digestive and Colorectal Surgery, Center of Minimally Invasive Surgery, University of Turin, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Cassoni","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences and Human Oncology, University of Turin, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marinella","family":"Mistrangelo","sequence":"additional","affiliation":[{"name":"Department of Oncology, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella","family":"Castellano","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences and Human Oncology, University of Turin, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Codognotto","sequence":"additional","affiliation":[{"name":"Department of Digestive and Colorectal Surgery, Center of Minimally Invasive Surgery, University of Turin, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Sapino","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences and Human Oncology, University of Turin, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ginevra","family":"Lamanna","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, University of Turin, Molinette Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Cravero","sequence":"additional","affiliation":[{"name":"Department of Digestive and Colorectal Surgery, Center of Minimally Invasive Surgery, University of Turin, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lavinia","family":"Bianco","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, University of Turin, Molinette Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Fora","sequence":"additional","affiliation":[{"name":"Department of Oncology, Molinette Hospital, Turin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Sandrucci","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, University of Turin, Molinette Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"bibr1-030089161109700619","unstructured":"RubinP.: Clinical oncology, 7th ed, pp 187\u2013211, WB Saunders Co, Philadelphia, 1993."},{"key":"bibr2-030089161109700619","unstructured":"AIRTUM Working group: I tumori in Italia \u2013 Documento annuale 2009. 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