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.
Department of Endoscopy and Motility Unit, Central Hospital, Ethnikis Aminis 41, T.K. 54635 Thessaloniki, Greece. pantso@the.forthnet.gr
Panagiotis
P
Katsinelos
George
G
Paroutoglou
Athanasios
A
Beltsis
Ioannis
I
Pilpilidis
Basilis
B
Papaziogas
Kostas
K
Mimidis
Panagiotis
P
Tsolkas
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*