title: Primary lung cancer presenting with metastasis to the colon: a case report.
abstract: Although about 50% of lung cancers have distant metastasis at the time of initial diagnosis, colonic metastases are extremely rare. This report presents a rare clinical case of colonic metastasis from primary squamous cell carcinoma of the lung. A 60-year-old female with anorexia and fatigue was referred to the department of pulmonary surgery in our hospital. The patient was diagnosed with primary squamous cell carcinoma of the lung, T2b N3 M1b Stage IV, and chemoradiotherapy was initiated. This treatment led to a good partial response in the primary lung lesion without any new metastatic lesions. The patient developed left abdominal pain due to a bulky sigmoid colon tumor 6  months later, and was preoperatively diagnosed with primary colon cancer. She underwent colonic resection, and the pathology specimen demonstrated poorly differentiated squamous cell carcinoma that was suspected to be colonic metastasis from the primary lung cancer. The postoperative course was uneventful, and she was discharged. Chemotherapy for the lung cancer was scheduled in the department of pulmonary surgery. This report presented a rare case of colonic metastasis from lung cancer. When patients with advanced primary lung cancer complain of abdominal symptoms, we should consider gastrointestinal tract metastasis from lung cancer.
authors: Department of Gastroenterological Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors: Hiroshi
authors: H
authors: Sakai
authors: Hiroyuki
authors: H
authors: Egi
authors: Takao
authors: T
authors: Hinoi
authors: Masakazu
authors: M
authors: Tokunaga
authors: Yasuo
authors: Y
authors: Kawaguchi
authors: Manabu
authors: M
authors: Shinomura
authors: Tomohiro
authors: T
authors: Adachi
authors: Koji
authors: K
authors: Arihiro
authors: Hideki
authors: H
authors: Ohdan
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000628:therapy; D059248:Chemoradiotherapy; D003110:Colonic Neoplasms / Q000556:secondary* / Q000628:therapy; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000628:therapy; D008875:Middle Aged; D011379:Prognosis; D013902:Radiography, Thoracic