Share This Article:

Long Term Survival after Resection of a Small Bowel Metastasis of Lung Adenocarcinoma: A Case Report

Abstract Full-Text HTML XML Download Download as PDF (Size:253KB) PP. 686-689
DOI: 10.4236/jct.2011.25092    4,265 Downloads   7,011 Views  

ABSTRACT

Background: Small bowel metastases of lung adenocarcinoma represent a rare clinical entity, often diagnosed after complications due to obstruction, bleeding or bowel perforation. Case Report: We report a case of ileal metastasis discovered during an intestinal perforation. The patient was a 47-year-old man hospitalized in emergency for acute abdominal pain, with right lower quadrant abdominal defense and a clinical history of left lower pulmonary lobectomy for lung adenocarcinoma 6 months before. Exploratory laparotomy for peritonitis revealed a single ileal tumor which was resected with lymph nodes excision. Pathology finding revealed that it was compatible with an ileal metastasis of his lung adenocarcinoma. Conclusions: The suspicion of a small bowel metastasis of lung carcinoma, although rare, must be taken in consideration and to carry out an extensive surgery, because only this will have an improvement on the survival of these patients. The purpose of this investigation is to add a new case report to the few that exist in order to provide a therapeutic approach to these exceptional cases.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

L. Sulpice, E. D’Errico, A. Arnaud, M. Rayar, K. Boudjema and B. Meunier, "Long Term Survival after Resection of a Small Bowel Metastasis of Lung Adenocarcinoma: A Case Report," Journal of Cancer Therapy, Vol. 2 No. 5, 2011, pp. 686-689. doi: 10.4236/jct.2011.25092.

References

[1] C. F. Mountain, S. D. Greenberg and A. E. Fraire, “Tumor Stage in Non-Small Cell Carcinoma of the Lung,” Chest, Vol. 99, No. 5, 1991, pp. 1258-1260. doi:10.1378/chest.99.5.1258
[2] A. Sternberg, S. Giler, I. Segal, Z. Shmuter and I. Kott, “Small Bowel Perforation as the Presenting Symptom of Squamous Cell Carcinoma of the Lung,” Journal of Clinical Oncology, Vol. 6, No. 2, 1980, pp. 181-186.
[3] A. S. Antler, Y. Ough, C. S. Pitchumoni, M. Davidian and W. Thelmo, “Gastrointestinal Metastases from Malignant Tumors of the Lung,” Cancer, Vol. 49, No. 1, 1982, pp. 170-172. doi:10.1002/1097-0142(19820101)49:1<170::AID-CNCR2820490134>3.0.CO;2-A
[4] P. M. McNeill, L. D. Wagman and J. P. Neifeld, “Small Bowel Metastases from Primary Carcinoma of the Lung,” Cancer, Vol. 59, No. 8, 1987, pp. 1486-1499. doi:10.1002/1097-0142(19870415)59:8<1486::AID-CNCR2820590815>3.0.CO;2-W
[5] J. M. Woods and M. J. Koretz, “Emergency Abdominal Surgery for Complications of Metastatic Lung Carcinoma,” Archives of Surgery, Vol. 125, No. 5, 1990, pp. 583-585. doi:10.1001/archsurg.1990.01410170029005
[6] D. M. Mosier, R. S. Bloch, P. L. Cunningham and S. A. Dorman, “Small Bowel Metastases from Primary Lung Carcinoma: A Rarity Waiting to be Found?” American Journal of Surgery, Vol. 58, No. 11, 1992, pp. 677-682.
[7] P. A. Renault, R. Arotcarena, V. Cales, A. Lippa, M. Benichou, P. Laurent, et al., “Metastatic Obstruction of the Small Bowel Revealing or Complicating Squamous-Cell Lung Cancer. Two Cases and a Review of the Literature,” Revue De Pneumologie Clinique, Vol. 59, No. 3, 2003, pp. 161-165.
[8] A. Berger, C. Cellier, C. Daniel, C. Kron, M. Riquet, J. P. Barbier, et al., “Small Bowel Metastases from Primary Carcinoma of the Lung: Clinical Findings and Outcome,” American Journal of Gastroenterology, Vol. 94, No. 7, 1999, pp. 1884-1887. doi:10.1111/j.1572-0241.1999.01224.x
[9] L. E. Stenbygaard and J. B. Sorensen, “Small Bowel Metastases in Non-Small Cell Lung Cancer,” Lung Cancer, 1999, Vol. 26, No. 2, 1999, pp. 95-101.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.