Tuberc Respir Dis.  2011 Aug;71(2):139-143. 10.4046/trd.2011.71.2.139.

Single Small Bowel Metastasis after Curative Operation in a Pleomorphic Lung Carcinoma

• Kim KW
• Lee HS
• Choi JS
• Seo KH
• Oh MH
• Jou SS
• Kim YH
• Na JO

• KMID: 1846422
• DOI: http://doi.org/10.4046/trd.2011.71.2.139

Abstract

Small bowel metastasis of pleomorphic carcinoma of the lung is very rare. A 58-year-old man was admitted to our hospital with abdominal palpable mass in the right upper quadrant area. He underwent right middle and lower lobectomy for early stage pleomorphic carcinoma of the lung approximately 3 months ago. USG-guided biopsy was performed for abdominal mass. Pathologic examination revealed a metastatic pleomorphic carcinoma from the lung. He received chemotherapy followed by radiation therapy but died due to septic shock caused by intestinal stenosis and adhesion. We report the first case of small bowel metastasis by pleomorphic carcinoma of the lung after curative surgery.

Keyword

Lung Neoplasms; Neoplasm Metastasis; Intestine, Small

MeSH Terms

Biopsy
Constriction, Pathologic
Humans
Intestine, Small
Lung
Lung Neoplasms
Middle Aged
Neoplasm Metastasis
Shock, Septic

Figure

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  Figure 1 Chest CT image shows a 6×4 cm sized cavitary mass abutting paravertebral pleura. CT: computed tomography.

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  Figure 2 Cut surface of right lower lobe shows a well defined ovoid mass with central necrosis.

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  Figure 3 (A) The tumor is composed of pleomorphic or atypical spindle-shaped cells (H&E, ×200). (B) Immunohistochemically, the tumor shows diffusely strong positive reaction for cytokeratin (×200).

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  Figure 4 (A) Contrast-enhanced CT scan shows 10×6 cm sized heterogeneous enhancing mass lesion in jejunum without obstruction sign. (B) Small bowel series shows focal segmental mucosal folds in the proximal jejunal loop. Adjacent barium spillage is seen due to filling into cavitary lesion. CT: computed tomography.

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