September 11, 2025Clinical Case ReportsOpen Access

Gastric Metastases From Invasive Breast Lobular Carcinoma, Identified by 18FFDG PET/CT, 20 Years After Primary Diagnosis: A Case Report

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Discussion

Case report identifying gastric metastases in a breast cancer patient, highlighting diagnostic challenges and treatment implications.

Gastric metastases from invasive lobular carcinoma were diagnosed two decades after initial treatment, indicating rare late-onset patterns.
FDG PET/CT revealed hypermetabolic lesions, complemented by endoscopic biopsies confirming metastases in the stomach.
Treatment adjustments involving exemestane, everolimus, paclitaxel, and tamoxifen resulted in partial disease control.
Vigilance is crucial for late-onset gastrointestinal metastases in breast cancer patients, necessitating thorough evaluation.

Ilonca et al. (2025) studied this question.

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