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Case Reports
. 2016 Feb 29:23:60.
doi: 10.11604/pamj.2016.23.60.8910. eCollection 2016.

Peritoneal carcinomatosis, an unusual and only site of metastasis from lung adenocarcinoma

Affiliations
Case Reports

Peritoneal carcinomatosis, an unusual and only site of metastasis from lung adenocarcinoma

Kloub Hanane et al. Pan Afr Med J. .

Abstract

Isolated peritoneal metastases of lung adenocarcinoma are very rare, even exceptional, occurring most often in the context of a multi-metastatic disease. This report presents a rare clinical case of isolated peritoneal metastasis from lung adenocarcinoma. We report a 56-year-old male who was monitored for lung adenocarcinoma whose evolution has been marked by an isolated metastatic recurrence in the peritoneum objectified by an abdominal-pelvic computed tomography (CT) and confirmed by a laparoscopy with abiopsy of the peritoneal nodules. The patient had received palliative chemotherapy with gemcitabine, cisplatin and bevacizumab. The evolution was marked by a progressive deterioration of the general condition and death two months after the third treatment cycle. Peritoneal carcinomatosis from lung adenocarcinoma is a very rare event, and is often associated with a poor prognosis.

Keywords: Lung cancer; chemotherapy; peritoneal carcinomatosis.

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Figures

Figure 1
Figure 1
Biopsy of the peritoneal nodules shows positive staining CK7 on immunohistochemistry
Figure 2
Figure 2
Biopsy of the peritoneal nodules shows positive staining TTF1 on immunohistochemistry
Figure 3
Figure 3
Biopsy of the peritoneal nodules: CK20 negative on immunohistochemistry

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