Hematemesis as a presenting symptom of lung cancer with synchronous metastases to the esophagus and stomach. A case report.
A rare case of upper gastrointestinal hemorrhage due to synchronous metastases to the esophagus and stomach from an asymptomatic lung cancer is reported. A 51-year-old white man presented with hematemesis and an emergency endoscopy revealed submucosal tumorous lesions with central ulcerations in the esophagus and stomach. A needle aspiration biopsy revealed the presence of cellular proliferation of adenocarcinoma, which led to the diagnosis of lung cancer, along with a chest radiograph revealing a tumor in the right middle lung field. The importance of conducting an upper gastrointestinal endoscopic examination for staging of patients with lung cancer is stressed.
Katsinelos
Panagiotis
P
Department of Endoscopy and Motility Unit, Central Hospital, Ethnikis Aminis 41, T.K. 54635 Thessaloniki, Greece. pantso@the.forthnet.gr
Paroutoglou
George
G
Beltsis
Athanasios
A
Pilpilidis
Ioannis
I
Papaziogas
Basilis
B
Mimidis
Kostas
K
Tsolkas
Panagiotis
P
D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000556:secondary*; D004938:Esophageal Neoplasms / Q000556:secondary*; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000556:secondary*