Burbige E J, Radigan J J, Belber J P
Am J Gastroenterol. 1980 Dec;74(6):504-6.
A review of 147 autopsies performed over a 4.5-year period on patients with a diagnosis of primary carcinoma of the lung revealed that 18 (12%) had metastatic lesions in the gastrointestinal tract. Fourteen had a single focus of gastrointestinal involvement, while four had multiple lesions in the gastrointestinal tract. Large cell carcinoma accounted for a large percentage (33%), out of proportion to the general occurrence of this cell type (12%). Twelve of the 18 patients had signs or symptoms suggesting gastrointestinal involvement but only four were diagnosed premortem. Gastrointestinal involvement in metastatic carcinoma of the lung occurs more frequently than realized and is often overlooked.
对4.5年间诊断为原发性肺癌的患者进行的147例尸检回顾显示，18例（12%）在胃肠道有转移病灶。14例有单个胃肠道受累病灶，4例在胃肠道有多个病灶。大细胞癌占比很大（33%），与该细胞类型的总体发生率（12%）不相称。18例患者中有12例有提示胃肠道受累的体征或症状，但只有4例在死前得到诊断。肺癌转移癌的胃肠道受累比人们意识到的更常见，且常常被忽视。
