Small-Cell Lung Carcinoma Produces Salivary-Type Amylase: A Case Report with Review

Yamazaki, Seiichi; Ebisawa, Shoichiro; Matsumura, Yasuo; Urushihata, Kazuhisa; Koizumi, Tomonobu; Kubo, Keishi

doi:10.2169/internalmedicine.46.6205

Cited by 7 publications

(1 citation statement)

References 14 publications

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“…Salivary-type amylase or gene is present in normal human salivary glands, thyroid, lungs and the female genital tract [2] [3]. In clinical cases, elevated salivary-type amylases are observed in many tumors such as lung cancer [4], pancreatic cancer [5], stomach cancer [6], uterine tumors [7], ovarian cancer [8] [9] [10], osteosarcoma [11], multiple myeloma [12]. In our case, the tumor originated from the ovary.…”

Section: Discussionmentioning

confidence: 99%

Sigmoido-Uterine Fistula Caused by Ovarian Cancer

Yadav¹,

Xiang²,

Cheng³

et al. 2017

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A 67-year-old woman presented with abdominal distension and difficulty in defecation. She had a huge mass in the left lower abdomen and hyperamylasemia with normal pancreatic-type amylase (P-AMY). Nuclear magnetic resonance and computed tomography scan revealed a huge pelvic mass, but the origin of mass wasn't certain. After discussion with the multidisciplinary team, ultrasonography guided pathological biopsy of the mass was done. Pathological biopsy showed that the mass was poorly differentiated adenocarcinoma, which may be originated from ovary. Patient was on neo-adjuvant chemotherapy. After one and a half months of chemotherapy, the patient developed colorectal-reproductive system fistula with hyperpyrexia. Laparatomy with resection of mass, sigmoid colon, left ovary and part of uterus, proximal colostomy with closure of the distal rectum and end to end anastomosis of left ureter with DJ tube drainage (left ureter invaded by tumor confirmed intra operation) was done. Operative finding: Fistula between sigmoid colon and uterus through the tumor.

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