Hoshi Minako, Ikeda Kimimasa, Higashiguchi Masaya, Kobayashi Teruyuki, Sakai Kenji, Koyama Taichi, Doi Takashi, Taniguchi Hirokazu, Murakami Masakazu, Kurokawa Eiji, Nakamichi Itsuko
Dept. of Surgery, Minoh City Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):1842-1844.
Case 1: A 66-year-old man who had undergone upper right lobe resection for large cell lung carcinoma 2 months earlier presented with abdominal pain and vomiting. Computed tomography showed intussusception of the small intestine. Partial resection of the small intestine was performed. The tumor was pathologically diagnosed as lung cancer metastasis to the small intestine. The patient died 30 days after surgery. Case 2: A 57-year-old man was admitted to hospital due to appetite loss. Computed tomography showed a large intestinal tumor and a small lung tumor, as well as multiple liver metastases and lymph node metastases. We diagnosed perforation of the small intestine tumor, and partial resection of small intestine was performed. Pathological examination and immunohistochemical staining revealed that the tumor was a metastatic adenocarcinoma, and the patient was diagnosed with small intestine metastasis of lung cancer. He died 75 days after surgery. Although small intestine metastasis of lung cancer is rare, the incidence is increasing. The prognosis of lung cancer metastasis of the small intestine is poor, and therefore, we must urgently decide the appropriate treatment.
病例1:一名66岁男性,2个月前因大细胞肺癌接受了右上叶切除术,现出现腹痛和呕吐症状。计算机断层扫描显示小肠套叠。遂进行了小肠部分切除术。肿瘤经病理诊断为肺癌转移至小肠。患者术后30天死亡。病例2:一名57岁男性因食欲减退入院。计算机断层扫描显示大肠肿瘤和肺部小肿瘤,以及多发肝转移和淋巴结转移。我们诊断为小肠肿瘤穿孔,并进行了小肠部分切除术。病理检查和免疫组化染色显示肿瘤为转移性腺癌,该患者被诊断为肺癌小肠转移。他术后75天死亡。虽然肺癌小肠转移罕见,但发病率正在上升。肺癌小肠转移的预后较差,因此,我们必须紧急确定合适的治疗方案。