[Long-term evolution of achalasia of the lower esophageal sphincter and intestinal paraneoplasic pseudo-obstruction revealing small cell lung carcinoma].
We report a case of a small cell carcinoma of the lung revealed by chronic intestinal pseudo-obstruction associated with achalasia of the lower esophageal sphincter. Tumoral remission was achieved for more than 21 months after chemoradiotherapy but this did not prevent the paraneoplasic syndrome from persisting and medical treatment was not successful in treating the intestinal pseudo-obstruction or the dysphagia, which was not improved by esophageal dilation.
Ceze
N
N
Service d'hépatogastroentérologie, hôpital Trousseau, CHRU de Tours, avenue-de-la-République, 37170 Chambray-les-Tours, France.
D'Alteroche
L
L
Picon
L
L
Magro
P
P
Monégier du Sorbier
C
C
Metman
E-H
EH
D000368:Aged; D018288:Carcinoma, Small Cell / Q000150:complications / Q000175:diagnosis*; D002908:Chronic Disease; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology; D051959:ELAV Proteins / Q000032:analysis; D004931:Esophageal Achalasia / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis* / Q000209:etiology; D008137:Longitudinal Studies; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis*; D010257:Paraneoplastic Syndromes / Q000175:diagnosis* / Q000209:etiology
D051959:ELAV Proteins