Korean Journal of Gastrointestinal Endoscopy 2000;21(6): 947-950.
폐대세포암의 소장 및 대장 원격성 전이 1예 ( A Case of Sigmoid Colon and Jejunal Metastases from Large Cell Lung Cancer )
김태형(Tae Hyung Kim),장영운(Young Woon Jang),김효종(Hyo Jong Kim),한요셉(Yo Seb Han),이동근(Dong Geun Lee),김경진(Gyung Jin Kim),동석호(Suk Ho Dong),김병호(Byung Ho Kim),이정일(Jung Il Lee),장린(Rin Jang)
Abstract
Lung cancer begins insidiously, metastasizes early, and is frequently nonresectable at the time of diagnosis. Gastrointestinal metastases are considered the most unusual. A 60 year-old man was admitted for the evaluation of dizziness. For two weeks prior to admission, he had mild blood-tinged sputum and melena. He had right cervical lymphadenopathy, measured by 2 X 2 cm. Laboratory studies demonstrated hemoglobin of 3.7 g/dL, Posteroanterior and lateral chest radiographs revealed mass-like lesion of right upper lobe. An umblicated mass was found in the sigmoid colon by colonoscopic examination and biopsy was done. He developed abdominal pain, tenderness and rebound tenderness at admission 10 days, Abdominal CT showed that focal thickened wall and suspicious perforated lesion at the ileum. Operation was done. In recent time, we experienced a case in which perforation of gastrointestinal metastases developed with malignant tumors of the lung.
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