Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Duodenal Metastasis from Adenocarcinoma of the Lung

십이지장으로 전이된 폐선암 1예

  • Yoo, Seung Hyun (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Sim, Yun Su (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Lee, Jin Hwa (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Shim, Ki Nam (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Chang, Jung Hyun (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Kim, Yoon Kyung (Department of Radiology, Ewha Womans University School of Medicine) ;
  • Sung, Sun Hee (Department of Pathology, Ewha Womans University School of Medicine)
  • 유승현 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 심윤수 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 이진화 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 심기남 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 장중현 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 김윤경 (이화여자대학교 의학전문대학원 영상의학교실) ;
  • 성순희 (이화여자대학교 의학전문대학원 병리학교실)
  • Received : 2007.07.09
  • Accepted : 2007.08.13
  • Published : 2007.09.30
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Abstract

A gastrointestinal metastasis from lung cancer is rare and is quite often found during an autopsy. A 58-year-old man was admitted with left upper back pain and a mass in the left upper lobe on the chest radiograph. The transbronchial lung biopsy revealed an adenocarcinoma of the lung. A gastroduodenoscopy was carried out to evaluate the indigestion and epigastric discomfort. The duodenofibroscopy revealed bulging mucosa on the minor papilla of the duodenum. A metastasis to the duodenum from an adenocarcinoma of the lung was diagnosed by a duodenofibroscopic biopsy of the bulging lesion. We report this rare case of an adenocarcinoma of lung with a metastasis to the duodenum.

원발성폐암의 위장관 전이, 특히 십이지장으로의 전이는 매우 드물며, 부검에서 발견되는 경우가 더 많다. 본 증례의 58세 남자는 왼쪽 등의 통증과 흉부 X-선 촬영에서 좌상엽에 종괴로 의뢰되어 경기관지폐생검 결과 폐선암을 진단 받았으며, 이후 소화불량과 상복부불편감을 호소하여 시행한 위내시경 결과 십이지장 팽대부의 점막 돌출을 발견하여 이에 대한 조직검사에서 폐선암의 십이지장 전이로 밝혀졌다.

Keywords

References

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