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Kim, Lee, Choi, Seo, Oh, Jou, Kim, and Na: Single Small Bowel Metastasis after Curative Operation in a Pleomorphic Lung Carcinoma
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2011; 71(2): 139-143.

Published online: 31 August 2011

DOI: https://doi.org/10.4046/trd.2011.71.2.139

Single Small Bowel Metastasis after Curative Operation in a Pleomorphic Lung Carcinoma

Ki Won Kim, M.D.1, Ho Sung Lee, M.D.1, Jae Sung Choi, M.D.1, Ki Hyun Seo, M.D.1, Mee-Hye Oh, M.D.2, Sung Shick Jou, M.D.3, Yong Hoon Kim, M.D.1, Ju Ock Na, M.D.1

1Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.

2Department of Pathology, Soonchunhyang University College of Medicine, Cheonan, Korea.

3Department of Radiology, Soonchunhyang University College of Medicine, Cheonan, Korea.

Address for correspondence: Ju Ock Na, M.D. Department of Internal Medicine, Soonchunhyang University College of Medicine, 23-20, Bongmyeong-dong, Dongnam-gu, Cheonan 330-721, Korea. Phone: 82-41-570-3666, Fax: 82-41-574-5762, Juokna@hanmail.net

Received 8 March 2011       Accepted 16 June 2011

Copyright © 2011. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Small bowel metastasis of pleomorphic carcinoma of the lung is very rare. A 58-year-old man was admitted to our hospital with abdominal palpable mass in the right upper quadrant area. He underwent right middle and lower lobectomy for early stage pleomorphic carcinoma of the lung approximately 3 months ago. USG-guided biopsy was performed for abdominal mass. Pathologic examination revealed a metastatic pleomorphic carcinoma from the lung. He received chemotherapy followed by radiation therapy but died due to septic shock caused by intestinal stenosis and adhesion. We report the first case of small bowel metastasis by pleomorphic carcinoma of the lung after curative surgery.

Keywords: Lung Neoplasms, Neoplasm Metastasis, Intestine, Small

Figures and Tables

Figure 1
Chest CT image shows a 6×4 cm sized cavitary mass abutting paravertebral pleura. CT: computed tomography.
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Figure 2
Cut surface of right lower lobe shows a well defined ovoid mass with central necrosis.
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Figure 3
(A) The tumor is composed of pleomorphic or atypical spindle-shaped cells (H&E, ×200). (B) Immunohistochemically, the tumor shows diffusely strong positive reaction for cytokeratin (×200).
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Figure 4
(A) Contrast-enhanced CT scan shows 10×6 cm sized heterogeneous enhancing mass lesion in jejunum without obstruction sign. (B) Small bowel series shows focal segmental mucosal folds in the proximal jejunal loop. Adjacent barium spillage is seen due to filling into cavitary lesion. CT: computed tomography.
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