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Autopsy Study and 18 Cases Requiring Operative Intervention

Morris J. Asch, MD; Philip D. Wiedel, MD; David V. Habif, MD

AMA Arch Surg. 1968;96(5):840-843.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 authors^2-4 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 . . . [Full Text PDF of this Article]

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.

Footnotes
Submitted for publication Aug 14, 1967.

Reprint requests to 622 W 168th St, New York 10032 (Dr. Habif).

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