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. 2005 Jun 6:2:13.
doi: 10.1186/1477-7800-2-13.

Frequency, symptoms and outcome of intestinal metastases of bronchopulmonary cancer. Case report and review of the literature

Andreas Hillenbrand  1 , Joern Sträter, Doris Henne-Bruns
Affiliations

Frequency, symptoms and outcome of intestinal metastases of bronchopulmonary cancer. Case report and review of the literature

Andreas Hillenbrand et al. Int Semin Surg Oncol. .

Abstract

Background: We report a new case of small bowel metastases from primary lung cancer. Such metastases are not exceptional, but their clinical manifestations are rare.

Case presentation: The case involved a 56-year-old man with a squamous cell carcinoma of the lung (stage IV) that had been treated with chemotherapy. He presented fourteen months after diagnosis with an acute abdominal pain. Abdominal CT-scan demonstrated a perforated jejunum and he underwent emergency surgery. Postoperative pathologic analysis confirmed the diagnosis of metastatic pulmonary carcinoma. The patient was discharged after ten days, but died 8 weeks after surgery at home on tumor progression.

Conclusion: We were able to find 58 documented similar cases in the literature. Most cases presented with bowel perforation or obstruction. Squamous cell carcinoma was the most common histological cell type followed by large cell carcinoma. Other metastases are often present, and the prognosis is mostly fatal at short term.

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Figures

Figure 1
Figure 1
CT scan with intravenouse contrast: Free intraperitoneal air and a enlarged jejunum.
Figure 2
Figure 2
Small bowel metastasis; Stain: Hematoxylin & Eosin (amplification 1:62).
See this image and copyright information in PMC

References

    1. Greenlee RT, Murray T, Bolden S, Wingo PA. Cancer statistics 2000. CA Cancer J Clin. 2000;50:7–33. - PubMed
    1. Jemal A, Murray T, Samuels A, Ghafoor A, Ward E, Thun MJ. Cancer statistics 2003. CA Cancer J Clin. 2003;53:5–26. - PubMed
    1. Kabwa L, Mattei JP, Noel JP. Intestinal metastases of bronchopulmonary cancer. Apropos of a case. J Chir (Paris) 1996;133:290–3. - PubMed
    1. Mountain CF. Revisions in the International System for Staging Lung Cancer. Chest. 1997;111:1710–7. - PubMed
    1. Sakorafas GH, Pavlakis G, Grigoriadis KD. Small bowel perforation secondary to metastatic lung cancer: a case report and review of the literature. Mt Sinai J Med. 2003;70:130–2. - PubMed

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