A Long Term Surviving Case after Resection of Metastatic Duodenal Tumor of the Lung Cancer

Masashi Inoue, Shinichi Oka, Nariyuki Yamane, Seiichi Nakamura*, Masato Makino and Masahide Ikeguchi

Division of Surgical Oncology, Tottori University
Department Surgery, Tottori Prefectural Central Hospital*

We report a long-term lung cancer survivor who underwent a resection for a metastatic duodenal tumor. A 62-year-old man with right non-small cell lung cancer underwent radiochemotherapy followed by a right upper lobectomy with combined resection of the chest wall, superior vena cava, and pericardium. The histopathological diagnosis was poorly differentiated adenocarcinoma. He was readmitted to our hospital complaining of fever and anemia. An abdominal computed tomography examination, upper gastrointestinal series, and endoscopy showed a tumor in the third portion of the duodenum, and a biopsy revealed a metastatic duodenal tumor originating from the lung cancer. A partial resection of the duodenum and jejunum with conbined resection of the transverse and descending colon was performed with curative intent, and docetaxel was administered as postoperative chemotherapy. The patient has survived without recurrence for 79 months after initial pulmonary surgery and 72 months since the second surgery for the duodenal tumor. The possibility of curative surgery for the intestinal metastasis of lung cancer, although extremely low, must be kept in mind.

Key words
lung cancer, duodenal metastasis, long-term survival

Reprint requests
Masashi Inoue Division of Surgical Oncology, Tottori University
36-1 Nishi-machi, Yonago, 683-8504 JAPAN

Accepted
November 22, 2006

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