Intussusception Caused by Intestinal Metastasis from Lung Pleomorphic Carcinoma

Lin, Mong-Wei; Wu, Chen-Tu; Chang, Yih‐Leong

doi:10.5761/atcs.cr.13-00099

Cited by 14 publications

(7 citation statements)

References 10 publications

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“…8,10 • Continuous exposure to carcinogens. 4,9 • Pleomorphism of the cancer cells themselves. 8,10 However, immunohistochemical examination using P40 and Napsin A of lung and ceccum specimens revealed negative P40 and positive Napsin results, suggesting that the lung was the primary source of metastases in the colon.…”

Section: Discussionmentioning

confidence: 99%

Severe Abdominal Pain Due To Gastrointestinal Obstruction in Patient With Lung Adenosquamous Metastases in Colon

Dini¹,

Pratiwi

Setyawan

et al. 2023

MRJ

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Background: Lung cancer is the most common cause of cancer-related death globally. Moreover, metastatic cancer from the lungs frequently occurs and is commonly identified at the first diagnosis. The primary cancer must be identified in order to establish the most effective treatment. However, colonic metastases are rare with incidence of 0,1%. Aim: This report describes an unusual case of colonic metastases from lung adenocarcinoma. Methods: Patient (58-year-old male) was examined with Fiber Optic Bronchoscopy and core biopsy in the lungs, and the results were suspicious for squamous cells. The patient had severe abdominal pain and bloating for 1 week and had signs of gastrointestinal obstruction in his second visit. The result of urgent laparotomy was adenosquamous and the result of immunohistochemical examination was negative P40 and positive Napsin A in both lungs and colon. Results: The lung biopsy result indicated squamous cell and the ceccum showed adenosquamous. The immunohistochemical examination using P40 and Napsin A of both lung and ceccum specimens indicated that the lung was the primary source of metastases to the colon. Conclusion: The patient suffered from a squamous cell lung tumor and reported severe abdominal pain due to metastases to the colon with adenosquamous results.

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Section: Discussionmentioning

confidence: 99%

Severe Abdominal Pain Due To Gastrointestinal Obstruction in Patient With Lung Adenosquamous Metastases in Colon

Dini¹,

Pratiwi

Setyawan

et al. 2023

MRJ

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“…The prognosis of pleomorphic carcinoma is poor compared to that of adenocarcinoma or squamous cell carcinoma. It is characterized by the presence of malignant epithelial and homologous sarcomatoid cell components with coexpression of cytokeratin and vimentin in different proportions 8 , 9 . It is associated with smoking and occurs more frequently in men 10 .…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal bleeding due to jejunal metastasis of pleomorphic lung carcinoma: a case report

Beji

Laamiri

Chtourou

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Gastrointestinal metastasis of pleomorphic lung cancer presents with nonspecific manifestations, leading to delayed diagnosis. Herein, the authors report the case of a 56-year-old patient who presented with gastrointestinal bleeding due to pleomorphic lung carcinoma. Case presentation: A 56-year-old patient presented to the emergency department with melena. On examination, he was hemodynamically stable. He had a sensitive and mobile mass in the periumbilical region. A thoracoabdominal computed tomography scan showed a mass of the right apical superior lobe measuring 4 cm and a lobulated jejunal mass measuring 10 cm. A percutaneous biopsy of the lung tumor revealed primary pleomorphic lung carcinoma. The authors performed a midline laparotomy and made a bowel resection with an end-to-end anastomosis. The postoperative course was marked by severe nosocomial pneumonia, leading to septic shock and death. The histopathologic examination concluded with a metastatic lesion of pleomorphic lung carcinoma. Clinical discussion: The authors reported a rare case of jejunal metastasis of pleomorphic lung cancer. Pleomorphic carcinoma of the lung is a rare pathology that accounts for 0.1–0.4% of nonsmall-cell lung cancer. The prognosis is poor. In the presence of gastrointestinal bleeding caused by small bowel metastases of pleomorphic lung cancer, surgery is the treatment of choice. Conclusions: Small bowel metastasis of pleomorphic lung cancer is rare. Surgical treatment is the treatment of choice. The authors highlight the importance of suspecting gastrointestinal metastases in patients with pleomorphic lung cancer in the presence of nonspecific digestive symptoms.

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“…49,50 Rare cases of testicular seminoma, 51 osteosarcoma, 52,53 and Ewing sarcoma 54 have also been described. Symptoms of intestinal metastasis described in the literature include intussusception, 16,[20][21][22][23][24][25][26][27][28][29][43][44][45][46][47][48][49][50][51][52][53][54] and perforation [17][18][19][30][31][32][33][34][35][36][37][38][39][40][41][42] . The curative treatment of ATC is multimodal and consists of surgery and external beam radiation therapy with radio-sensitizing chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

Small bowel perforation and death caused by anaplastic thyroid carcinoma metastasis in a patient with concomitant colonic and bilateral breast carcinoma.

Hrudka¹,

Švadlenková²

2021

Autops Case Rep

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Intussusception Caused by Intestinal Metastasis from Lung Pleomorphic Carcinoma

Cited by 14 publications

References 10 publications

Severe Abdominal Pain Due To Gastrointestinal Obstruction in Patient With Lung Adenosquamous Metastases in Colon

Severe Abdominal Pain Due To Gastrointestinal Obstruction in Patient With Lung Adenosquamous Metastases in Colon

Gastrointestinal bleeding due to jejunal metastasis of pleomorphic lung carcinoma: a case report

Small bowel perforation and death caused by anaplastic thyroid carcinoma metastasis in a patient with concomitant colonic and bilateral breast carcinoma.

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