Two Cases of Resected Small Intestinal Metastases from Primary Carcinoma of the Lung

Shinya Yamamoto, Tomoji Kohmoto, Hajime Kumegawa, Seiji Mori, Satoshi Tanaka

First Department of Surgery, Kagawa Medical School

We report two resected cases of small intestinal metastasis from lung cancer. The first case was a 58-year-old man who had squamous cell carcinoma of B¹a of the right lung. Because of thoracic wall invasion and mediastinal lymph node metastasis, he underwent radiation and chemotherapy. Small intestinal metastatic tumor was detected by examination for anemia and bloody stool. Accompanied with lymph node swelling of the mesentery, a fist-sized tumor was found at the jejunum 220 cm distal from Treiz's ligament. Partial resection of the jejunum was performed. In spite of radiation and chemotherapy, he died of the brain, adrenal and liver metastases 11 months after the operation. The second case was a 69-year-old man who had adenocarcinoma of B³ of the right lung with lymph node metastasis at the right neck and axillary region and right pleural effusion. From acute abdominal pain and hyperpyrexia occurred during the radiation and chemotherapy, he was diagnosed as diffuse peritonitis. He underwent partial resection of the jejunum including the metastatic lesion with perforated carcinomatous ulcer at 170 cm distal from Treiz's ligament. He died 49 days after operation in spite of chemotherapy.

Key words
lung cancer, small intestinal metastasis

Reprint requests
Shinya Yamamoto Department of Surgery, Sakaide Municipal Hospital
1-6-43 Bunkyo-cho, Sakaide, 762 JAPAN

Accepted
February 9, 1994

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