Tatebe S, Yoshimura T, Ohtani S, Kusama A
Department of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Ibaraki, Japan.
Kyobu Geka. 1995 Feb;48(2):169-71.
The case of a 44-year-old man with metastatic tumor of the small intestine from large cell carcinoma of the lung was reported. The patient underwent exploratory thoracotomy because of tumor invasion into the left ventricle. He was discharged from our department after chemotherapy and irradiation. However, he was again admitted because of the development of anemia secondary to melena. An abdominal ultrasonography revealed ascites and tumor of the small intestine. Symptoms of ileus also developed. A laparotomy was performed. The metastatic tumors were found in the jejunum, and resection of jejunum was performed. The postoperative course of the patient was uneventful, and he survived one month after laparotomy. Small bowel metastasis of lung cancer, which is unusual pattern of metastasis, is also reviewed.
报告了一例44岁男性，患有来自肺大细胞癌的小肠转移性肿瘤。患者因肿瘤侵犯左心室而接受了 exploratory thoracotomy（开胸探查术）。化疗和放疗后从我们科室出院。然而，他因黑便继发贫血而再次入院。腹部超声检查显示有腹水和小肠肿瘤。还出现了肠梗阻症状。进行了剖腹手术。在空肠发现了转移性肿瘤，并进行了空肠切除术。患者术后恢复顺利，剖腹手术后存活了一个月。肺癌的小肠转移，这是一种不常见的转移模式，也进行了回顾。
