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Case Reports
. 2006 Jun;21(2):132-5.
doi: 10.3904/kjim.2006.21.2.132.

Pancreatic metastasis and obstructive jaundice in small cell lung carcinoma

Affiliations
Case Reports

Pancreatic metastasis and obstructive jaundice in small cell lung carcinoma

In Beom Jeong et al. Korean J Intern Med. 2006 Jun.

Abstract

Primary lung cancer frequently metastasizes to distant organs. The pancreas is a relatively infrequent site of metastasis. Furthermore, obstructive jaundice resulting from pancreatic metastasis is extremely rare. This paper examines the case of a 65-year-old woman with small cell lung cancer initially presenting with extrahepatic biliary obstruction. The patient underwent percutaneous transhepatic biliary drainage. The obstruction was relieved with a stent placement, then the woman was treated with combination chemotherapy (irinotecan, cisplatin) and a complete remission achieved in six months.

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Figures

Figure 1
Figure 1
Magnetic resonance imaging of the pancreas showing a masses in the head (A), Computerized tomographic scan of the chest showing a mass in lingular division of left lower lobe (B).
Figure 2
Figure 2
Biliary stent implantation was done (A). Excellent contrast passage through biliary stent was seen (B).
Figure 3
Figure 3
Bronchoscopic lung biopsy specimen showing small neoplastic cells (A). Pancreas aspiration cytology showing many cluster of small neoplastic cells (B).
Figure 4
Figure 4
After 6 months irinotecan, cisplatin based chemotherapy, follow up CT scan showing no remnant mass in the lung field (A) and the pancreas (B). Complete remission was achieved.

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