Korean J Intern Med.  2006 Dec;21(4):256-261. 10.3904/kjim.2006.21.4.256.

Pancreatitis from Metastatic Small Cell Lung Cancer: Successful Treatment with Endoscopic Intrapancreatic Stenting

• Woo JS
• Joo KR
• Woo YS
• Jang JY
• Chang YW
• Lee JI
• Chang R

• KMID: 759862
• DOI: http://doi.org/10.3904/kjim.2006.21.4.256

Abstract

Lung cancer metastases can occur in almost any organ. However, metastasis of small cell lung cancer to the pancreas is rare. Moreover, not all cases present with clinically diagnosed pancreatitis. We recently treated a patient with small cell lung carcinoma that invaded the pancreatic duct causing acute pancreatitis. Generally, the treatment for tumor-induced acute pancreatitis is initially supportive followed by aggressive chemotherapy or surgery. If the patient can tolerate the insertion of an endoscopic intrapancreatic stent, this is performed in addition to chemotherapy and surgery; this approach offers a safe and effective treatment modality for such patients.

Keyword

Small cell lung cancer; Metastasis; Acute pancreatitis; Endoscopic retrograde cholangiopancreatography

MeSH Terms

Tomography, X-Ray Computed
*Stents
Prosthesis Implantation/*methods
Pneumonectomy
Pancreatitis/diagnosis/etiology/*surgery
Pancreatic Neoplasms/*complications/secondary/therapy
Pancreatic Ducts/radiography/*surgery/ultrasonography
Middle Aged
Lung Neoplasms/*pathology/therapy
Humans
Follow-Up Studies
Female
Endosonography
Cholangiopancreatography, Endoscopic Retrograde
Carcinoma, Small Cell/*complications/secondary/therapy
Antineoplastic Agents/therapeutic use