小腸孤立性転移にて発症した肺大細胞癌の一例

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  • A case of solitary small bowel metastasis from large cell carcinoma of the lung.

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This is a case report of a 64-year old man with small bowel solitary metastasis from large cell carcinoma of the lung. The first symptom was abdominal pain after contusion. Abdominal CT revealed wall thickning of small intestine and high CT density of peripheral fat tissue. Chest X-ray study on admission, CT and cytological examination revealed lung cancer of the left upper lobe of lung. Laparotomy was performed, and a solitary tumor about 6cm in diameter was found in the jejunum 70cm distal to the ligament of Treitz . Partial resection of small intestine was done . The tumor was suspected to be a mesenchymal tumor initially. 18 days after that operation, left upper lobectomy of lung was performed. Histological examination revealed a large cell carcinoma of the lung and its metastasis to the small intestine. He survived 172 days after the abdominal operation.

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