A Case of Sigmoid Colon and Jejunal Metastases from Large Cell Lung Cancer.
- Author:
Tae Hyung KIM
1
;
Young Woon CHANG
;
Hyo Jong KIM
;
Yo Seb HAN
;
Dong Kuen LEE
;
Kyung Jin KIM
;
Seok Ho DONG
;
Byung Ho KIM
;
Joung Il LEE
;
Rin CHANG
Author Information
1. Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Lung cancer;
Intestinal metastasis
- MeSH:
Abdominal Pain;
Biopsy;
Colon, Sigmoid*;
Diagnosis;
Dizziness;
Humans;
Ileum;
Lung Neoplasms*;
Lung*;
Lymphatic Diseases;
Melena;
Middle Aged;
Neoplasm Metastasis*;
Radiography, Thoracic;
Sputum;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(6):947-950
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lung cancer begins insidiously, metastasizes early, and is frequently nonresectable at the time of diagnosis. Gastrointestinal metastases are considered the most unusual. A 60 year-old man was admitted for the evaluation of dizziness. For two weeks prior to admission, he had mild blood-tinged sputum and melena. He had right cervical lymphadenopathy, measured by 2 2 cm. Laboratory studies demonstrated hemoglobin of 3.7 g/dL. Posteroanterior and lateral chest radiographs revealed mass-like lesion of right upper lobe. An umblicated mass was found in the sigmoid colon by colonoscopic examination and biopsy was done. He developed abdominal pain, tenderness and rebound tenderness at admission 10 days. Abdominal CT showed that focal thickened wall and suspicious perforated lesion at the ileum. Operation was done. In recent time, we experienced a case in which perforation of gastrointestinal metastases developed with malignant tumors of the lung.
