[Gastroduodenal metastases: an unusual manifestation of lung cancer. Study of two cases and review ot the literature].
BACKGROUND
Diagnosis of gastroduodenal metastases is rare. Primary tumors are essentially melanomas and breast cancer, and exceptionally lung cancer.


METHODS
We report two patients who have a diagnosis of gastroduodenal metastases as initial manifestation of lung cancer. In one case, the patient died 3 weeks after the diagnosis. In the other case, chemotherapy was performed and complete response was obtained for the gastric metastasis. After a few months, node recurrence was diagnosed and the patient died 8 months after the diagnosis.


CONCLUSIONS
We review the endoscopic and non-endoscopic literature and discuss the different histological types and therapeutic strategies concerning these unusual manifestations of lung cancer.
Metges
J P
JP
Fédération de cancérologie, hôpital Morvan, CHU, 5, avenue Foch 29200 Brest, France. Jean-Philippe.Metges@univ-brest.fr
Labat
J P
JP
Giroux
M A
MA
Simon
H
H
Lucas
B
B
Malhaire
J P
JP
Gouerou
H
H
D015746:Abdominal Pain / Q000209:etiology; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001706:Biopsy; D004379:Duodenal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000556:secondary*; D004384:Duodenoscopy; D017809:Fatal Outcome; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D012907:Smoking / Q000009:adverse effects; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000556:secondary*
D000970:Antineoplastic Agents