乳腺癌胃转移与原发性胃癌鉴别诊断的研究进展

Advances in Differential Diagnosis between Gastric Metastasis of Breast Cancer and Primary Gastric Cancer

乳腺癌胃转移与原发性胃癌有许多相似之处,临床不易对两种疾病做出准确的鉴别诊断。乳腺癌胃转移与原发性胃癌的内镜、影像学以及组织病理学表现有许多相似之处,并不能准确地鉴别两种疾病。免疫组织化学标志物对两种疾病做出的鉴别诊断较内镜、影像学以及组织病理学更为可靠,全文回顾了通过免疫组化标志物、组织病理学、内镜及影像学来鉴别乳腺癌胃转移与原发性胃癌的研究,归纳这两种疾病的鉴别诊断方法。

There are many similarities between gastric metastasis of breast cancer and primary gastric cancer,and it is not easy to make an accurate differential diagnosis between these two diseases with endoscopy,imaging or histopathological examination;however,immunohistochemical markers may be more reliable than other techniques. This article reviews the progress on the differential diagnosis between primary gastric cancer and gastric metastasis from breast cancer with immunohistochemical markers,histopathology,endoscopy and imaging.