Korean J Gastrointest Endosc.  2000 Dec;21(6):947-950.

A Case of Sigmoid Colon and Jejunal Metastases from Large Cell Lung Cancer

Affiliations
  • 1Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.

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.

Keyword

Lung cancer; Intestinal metastasis

MeSH Terms

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
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