Document Detail


Small bowel metastasis from primary neuroendocrine small cell lung carcinoma.
MedLine Citation:
PMID:  20380277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Stefano Scabini; Edoardo Rimini; Emanuele Romairone; Renato Scordamaglia; Maurizio Boggio; Yuri Musizzano; Valter Ferrando
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chirurgia italiana     Volume:  61     ISSN:  0009-4773     ISO Abbreviation:  Chir Ital     Publication Date:    2009 Sep-Dec
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0151753     Medline TA:  Chir Ital     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  679-82     Citation Subset:  IM    
Affiliation:
UO Chirurgia Oncologica e dei Sistemi Impiantabili, AOU San Martino, Genova.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Surgical
Carcinoma, Neuroendocrine / secondary*,  surgery*
Carcinoma, Small Cell / secondary*,  surgery*
Humans
Ileal Neoplasms / secondary*,  surgery*
Laparotomy
Lung Neoplasms / pathology*
Male
Treatment Outcome

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