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Vol.37 No.1 contents | Japanese/English |
- Case Report -
Two Cases of Extensive Metastasis of Adenocarcinoma of the Lung to the Gastrointestinal Tract
Yoshihiro Kobashi, Satoshi Kawabata, Naoyuki Miyashita, Masamitsu Nakajima, Yoshihito Niki and Toshiharu MatsushimaDivision of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
Two rare cases of extensive multiple intestinal metastasis from adenocarcinoma of the lung were presented. Case 1: In a 59-year-old male in whom metastasis of adenocarcinoma of the lung to the mediastinal lymph nodes had been diagnosed surgically half a year previously. He was later readmitted to our hospital with a chief symptom of severe anemia. Endoscopic examination of the upper gastrointestinal tract revealed seven submucosal tumors in the gastric corpus. The pathological diagnosis revealed poorly differentiated adenocarcinoma with the same findings as the lung cancer that had been resected half a year ago. Autopsy two months after the second admission revealed metastasis to the duodenum, small intestine and large intestine in addition to stomach. Case 2: Adenocarcinoma of the lung was diagnosed on first admission in a 65-year-old man. He was readmitted to our hospital with a chief symptom of hemiplegia of the left lower limb. To determine the cause of melena after his second admission, a barium enema of the small intestine was performed and four submucosal tumors were detected in the duodenum and jejunum. Autopsy and microscopic examination of the metastatic lesions of small intestine three months after the second admission revealed the same pathological diagnosis as in the primary adenocarcinoma of the lung.
key words: Adenocarcinoma of the lung, Metastasis to the gastrointestinal tract
Received: August 12, 1996
Accepted: December 10, 1996
JJLC 37 (1): 111-116, 1997
