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IV期非小细胞肺癌伴小肠多发转移导致肠套叠：一例报告

Stage IV non-small cell lung cancer with multiple metastases to the small intestine leading to intussusception: A case report.

作者信息

Niu Qi-Guang, Huang Min-Hao, Kong Wei-Qi, Yu Yang

机构信息

Department of General Surgery, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China.

Department of General Surgery, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200050, China.

出版信息

World J Clin Cases. 2024 Sep 16;12(26):5960-5967. doi: 10.12998/wjcc.v12.i26.5960.

DOI:10.12998/wjcc.v12.i26.5960
PMID:39286383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11287517/
Abstract

BACKGROUND

Gastrointestinal tract metastasis from lung cancer is rare and compared to small cell lung cancer (SCLC), non-SCLC (NSCLC) is even less likely to metastasize in this manner. Additionally, small intestinal tumors can also present with diverse complications, some of which require urgent intervention.

CASE SUMMARY

In this report, we detail a unique case of stage IV lung cancer, where the presence of small intestine tumors led to intussusception. Subsequent to a small intestine resection, pathology confirmed that all three tumors within the small intestine were metastases from adenocarcinoma of the lung. The postoperative follow-up period extended beyond 14 mo.

CONCLUSION

In patients with stage IV NSCLC, local tumor control can be achieved with various treatments. However, if small intestinal metastasis occurs, surgical intervention remains necessary, as it may improve survival.

摘要

背景

肺癌胃肠道转移罕见，与小细胞肺癌（SCLC）相比，非小细胞肺癌（NSCLC）以这种方式转移的可能性更小。此外，小肠肿瘤也可出现多种并发症，其中一些需要紧急干预。

病例摘要

在本报告中，我们详细介绍了一例独特的IV期肺癌病例，其中小肠肿瘤导致肠套叠。小肠切除术后，病理证实小肠内的三个肿瘤均为肺腺癌转移灶。术后随访期超过14个月。

结论

对于IV期NSCLC患者，可通过多种治疗实现局部肿瘤控制。然而，如果发生小肠转移，手术干预仍然必要，因为这可能提高生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/f606d4a65d58/WJCC-12-5960-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/a48ea643fa1f/WJCC-12-5960-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/a84034a70a11/WJCC-12-5960-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/7ebd99e5e086/WJCC-12-5960-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/4c16d8bde6d8/WJCC-12-5960-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/f606d4a65d58/WJCC-12-5960-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/a48ea643fa1f/WJCC-12-5960-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/a84034a70a11/WJCC-12-5960-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/7ebd99e5e086/WJCC-12-5960-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/4c16d8bde6d8/WJCC-12-5960-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/11287517/f606d4a65d58/WJCC-12-5960-g005.jpg

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