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Case Reports
. 2010 Feb 25:3:9-12.
doi: 10.2147/imcrj.s8093. Print 2010.

Obstructive jaundice at the initial presentation in small-cell lung cancer

Nobuaki Ochi  1 , Nagio Takigawa, Masayuki Yasugi, Etsuji Ishida, Hirofumi Kawamoto, Akihiko Taniguchi, Daijiro Harada, Eiko Hayashi, Hiroko Toda, Hiroyuki Yanai, Mitsune Tanimoto, Katsuyuki Kiura
Affiliations
Case Reports

Obstructive jaundice at the initial presentation in small-cell lung cancer

Nobuaki Ochi et al. Int Med Case Rep J. .

Abstract

Obstructive jaundice sometimes may develop in association with advanced small-cell lung cancer (SCLC); however, SCLC initially presenting with obstructive jaundice is rare. This report presents the cases of two SCLC patients with obstructive jaundice at the initial diagnosis. A 64-year-old male presented with obstructive jaundice due to a tumor at the head of the pancreas. He was diagnosed with SCLC by transbronchial biopsy from a lung tumor in the left upper lobe. Another 74-year-old male was admitted with jaundice due to a tumor in the porta hepatis. He was also diagnosed with SCLC by a fine-needle aspiration biopsy of a lung tumor in the left lower lobe. Both cases were successfully treated with systemic chemotherapy after endoscopic retrograde biliary drainage.

Keywords: biliary obstruction; jaundice; metastasis; small-cell lung carcinoma.

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Figures

Figure 1
Figure 1
Tumors in the left upper lobe of the lung (left) and in the porta hepatic (right).
Figure 2
Figure 2
Histology of the primary lung lesion (a: ×20, b: ×400) and metastatic lymph node around the drainage tube (c: ×20, d: ×400).
Figure 3
Figure 3
Tumors in the left lower lobe of the lung (left) and in the parapancreatic head (right)
See this image and copyright information in PMC

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