Small bowel metastasis from primary neuroendocrine small cell lung carcinoma.
Small bowel metastases from a primary lung carcinoma are rare. We report a case of a 76-year-old male with a primary neuroendocrine small cell carcinoma of the lung, treated by chemotherapy, who developed fever and bowel symptoms (subocclusion and pain). On CT examination, he was found to have a tumour in the small bowel. The patient then underwent abdominal surgery. At operation we found small bowel occlusion by neoplasia and we therefore resected 15 cm of ileum with a side-to-side anastomosis. Early recognition of this rare condition is important due to the fact that complicated intestinal metastases from lung carcinoma can lead to high mortality rates and poor short-term outcomes. With advances in chemotherapy and palliative care, patients with metastatic lung carcinoma can sometimes survive more than a year with a reasonable quality of life.
Scabini
Stefano
S
UO Chirurgia Oncologica e dei Sistemi Impiantabili, AOU San Martino, Genova.
Rimini
Edoardo
E
Romairone
Emanuele
E
Scordamaglia
Renato
R
Boggio
Maurizio
M
Musizzano
Yuri
Y
Ferrando
Valter
V
D000368:Aged; D000714:Anastomosis, Surgical; D018278:Carcinoma, Neuroendocrine / Q000556:secondary* / Q000601:surgery*; D018288:Carcinoma, Small Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007078:Ileal Neoplasms / Q000556:secondary* / Q000601:surgery*; D007813:Laparotomy; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D016896:Treatment Outcome