Yonsei Med J.  2006 Apr;47(2):276-277. 10.3349/ymj.2006.47.2.276.

Acute Upper Gastrointestinal Bleeding Due to Metastatic Lung Cancer: An Unusual Case

• Altintas E
• Sezgin O
• Uyar B
• Polat A

• KMID: 1110755
• DOI: http://doi.org/10.3349/ymj.2006.47.2.276

Abstract

There have been several published reports on metastatic lesions in the stomach, but the number of cases have been limited due to the low frequency of the condition. Metastatic lesions in the stomach are usually asymptomatic. A 55-year-old man with known metastatic lung adenocancer exhibited epigastric pain, hematemesis, and melena. A bleeding, ulcerated gastric metastasis was found and treated with endoscopic therapy and omeprazole.

Keyword

Lung cancer; gastric metastases; gastrointestinal bleeding

MeSH Terms

Neoplasm Metastasis
Middle Aged
Male
Lung Neoplasms/*complications/*diagnosis
Humans
Gastrointestinal Tract/*pathology
Gastrointestinal Hemorrhage/diagnosis/*pathology
Fatal Outcome
Cell Nucleus/metabolism
Adenocarcinoma/pathology
Acute Disease

Figure

• 

  Fig. 1 On endoscopic examination, a volcano like ulcer was seen in the gastric corpus.

• 

  Fig. 2 Adenocarcinoma mostly consists of irregular nests of tumor cells with hyperchromatic irregular nuclei. Some cribriform areas producing intraluminal mucin are seen. (Original magnification × 400).

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