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May 1968

Gastrointestinal Metastases From Carcinoma of the Breast: Autopsy Study and 18 Cases Requiring Operative Intervention

Author Affiliations

New York
From the Department of Surgery, Columbia University, College of Physicians and Surgeons and the surgical services of Presbyterian and Francis Delafield Hospitals, New York.

Arch Surg. 1968;96(5):840-843. doi:10.1001/archsurg.1968.01330230148023

METASTATIC carcinoma of the breast has a complex and often long course1; its management requiring patience and skill. The usual sites of metastases are skeletal, pulmonary, hepatic, and cerebral. Several authors2-4 have stated that gastric metastases are rare, and it is generally believed that metastases to the alimentary tract as a whole are uncommon. A group of patients with gastrointestinal complications of metastatic breast carcinoma prompted the following review.

Group 1—Autopsy Series  Three hundred and thirty-seven autopsies on patients who died of carcinoma of the breast at the Francis Delafield Hospital in New York City from June 1, 1951, to Dec 31, 1962, were reviewed. Metastases to the esophagus, stomach, duodenum, jejunum, ileum, colon, or rectum were found in 52 patients, an incidence of 16.4%. Sixteen patients or 30.7% of those with gastrointestinal metastases had multiple metastatic deposits in the alimentary tract. The criterion used for inclusion in