title: [Pancreatic cystic metastasis from pulmonary carcinoma. Report of a case].
abstract: We report the case of a patients with a metachronous cystic pancreatic metastasis from an undifferentiated large cell lung carcinoma two years after the primary tumor had been surgically removed. Clinically, he presented with epigastric pain, fever, weakness and anorexia. The patient was operated and a palliative cystogastrostomy was performed after an intraoperative biopsy had been informed as positive for carcinoma. Six months later the patient died. Pancreatic metastases from lung carcinoma are found in approximately 7-9% of patients deceased of this neoplasm. Clinical and radiological findings simulate primary pancreatic tumors, being epigastric pain, jaundice and upper digestive bleeding the most frequent symptoms. They represent stages of advanced systemic disseminated tumoral disease, and because of this reason total or partial surgical curative resections will only be performed in a few cases of patients with isolated metastasis, criteria of resectability and without evidence of extended disease to other organs or systems. In the most of the cases, the treatment will only be palliative, even medical or surgical.
authors.affiliation: Servizio di Chirurgia Generale e Apparato Digestivo Ospedale Regionale Universitario Càrlos Haya, Malaga, Spagna.
authors.forename: C P
authors.initials: CP
authors.lastname: Ramirez Plaza
authors.forename: M A
authors.initials: MA
authors.lastname: Suàrez Muñoz
authors.forename: J
authors.initials: J
authors.lastname: Santoyo Santoyo
authors.forename: F J
authors.initials: FJ
authors.lastname: Perez Lara
authors.forename: M
authors.initials: M
authors.lastname: Iaria
authors.forename: L
authors.initials: L
authors.lastname: Raso
authors.forename: J L
authors.initials: JL
authors.lastname: Fernandez Aguilar
authors.forename: M
authors.initials: M
authors.lastname: Jimenez Hernandez
authors.forename: R
authors.initials: R
authors.lastname: Arrabal Sànchez
authors.forename: J A
authors.initials: JA
authors.lastname: Bondia Navarro
authors.forename: A
authors.initials: A
authors.lastname: de la Fuente Perucho
mesh_terms: D002283:Carcinoma, Bronchogenic / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000556:secondary*