[A Case of Small Intestinal Metastasis from Small Cell Lung Carcinoma Presenting with Gastrointestinal Bleeding]
Shoichiro Arai1, Daisuke Muroya, Hirotoshi Tsuru
1Dept. of Surgery, Kurume University Hospital.
Abstract:
An 80-year-old woman with a history of lobectomy for small cell lung carcinoma(SCLC)presented with melena 2 years after surgery. Contrast-enhanced abdominal CT and enteroscopy revealed a bleeding tumor at the proximal jejunum. Partial small bowel resection was performed for hemostasis and diagnosis. Histopathology confirmed jejunal metastasis from SCLC. Due to advanced age and ongoing hemodialysis, no adjuvant therapy was administered. She remains recurrence-free 7 months postoperatively. Small intestinal metastasis from SCLC is rare, but long-term survival after resection has been reported. We report this rare surgical case of jejunal metastasis from SCLC with gastrointestinal bleeding.
Related Concept Videos
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Metastasis
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Blood Supply to the Digestive System
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...

