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肺癌肠道转移导致的肠套叠

Intussusception due to intestinal metastasis from lung cancer.

作者信息

Kini Sangeeta, Kapadia Ridhi M, Amarapurkar Anjali

机构信息

Department of Pathology, BYL Nair Hospital & TN Medical College, Mumbai 400 008, India.

出版信息

Indian J Pathol Microbiol. 2010 Jan-Mar;53(1):141-3. doi: 10.4103/0377-4929.59208.

Abstract

Intestinal metastasis from lung primary is very uncommon and seen at the terminal stage of the disease. Clinically, patients present as perforation or bleeding and rarely as intussusception. We report the case of a 78-year-old man who came with sudden onset of abdominal complaints of four to five days duration. A computerized tomography (CT)--scan abdomen showed mural thickening of short loop of jejunum with ileoileal intussusception. Resection-anastomosis revealed two separate nodules in the small intestine. The patient, a diagnosed case of primary carcinoma of lung seven months ago, had been treated with one cycle of chemotherapy. Histopathology of the small intestinal nodules showed features of adenocarcinoma consistent with the known primary lung cancer. We present this case to arouse a clinical suspicion of intestinal metastasis in known cases of primary lung cancer presenting with the sudden onset of abdominal complaints. Early diagnosis and management improves the survival of these patients.

摘要

肺原发性肿瘤的肠转移非常罕见,多发生于疾病晚期。临床上,患者表现为穿孔或出血,很少表现为肠套叠。我们报告一例78岁男性患者,因突发腹部不适4至5天前来就诊。腹部计算机断层扫描(CT)显示空肠短袢肠壁增厚并伴有回肠-回肠套叠。切除吻合术后发现小肠有两个独立的结节。该患者7个月前被诊断为原发性肺癌,已接受一个周期的化疗。小肠结节的组织病理学显示腺癌特征,与已知的原发性肺癌相符。我们展示此病例是为了引起临床对已知原发性肺癌患者突发腹部不适时肠转移的怀疑。早期诊断和治疗可提高这些患者的生存率。

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