Abstract
The gastrointestinal tract is a rare site of metastatic spread. A case of lung cancer with gastrointestinal metastases was reported. This 36-year-old patient had a history of perforated peptic ulcer and was treated with a Billroth II subtotal gastrectomy 18 years ago. He was found to have a right upper lobe lung mass and received lobectomy in our hospital one month prior this admission. He was readmitted to the hospital because of intestinal obstruction. Due to persisting symptoms, a laparotomy was performed 7 days after admission. Two ileal tumors causing intussusceptions of the ileum at two different sites and multiple jejunal tumors were found. Thirteen days after the operation, the patient developed episodes of upper gastrointestinal bleeding. Panendoscopy showed multiple polypoid tumors and one 'volcanolike' lesion in the remnant of stomach and proximal intestine. Histologic examination of the resected tumors from the small bowel, endoscopic biopsy from the stomach, and the previously resected tumor from the lung revealed similar cancer cell morphology. The cancer cells were also found mainly involving the submucosal layer of the gastrointestinal tract. These suggested the diagnosis of lung cancer with gastrointestinal metastases. We review the clinical presentation and endoscopic findings of this unusual condition.
Original language | English |
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Pages (from-to) | 32-38 |
Number of pages | 7 |
Journal | Chinese Journal of Gastroenterology |
Volume | 11 |
Issue number | 2 |
State | Published - 1994 |
Externally published | Yes |
Keywords
- gastrointestinal metastases
- lung cancer