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근치적 수술 후 소장으로 단독 전이된 폐의 다형성 암종 1예

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

  • 김기원 (순천향대학교 의과대학 내과학교실) ;
  • 이호성 (순천향대학교 의과대학 내과학교실) ;
  • 최재성 (순천향대학교 의과대학 내과학교실) ;
  • 서기현 (순천향대학교 의과대학 내과학교실) ;
  • 오미혜 (순천향대학교 의과대학 병리학교실) ;
  • 조성식 (순천향대학교 의과대학 영상의학교실) ;
  • 김용훈 (순천향대학교 의과대학 내과학교실) ;
  • 나주옥 (순천향대학교 의과대학 내과학교실)
  • Kim, Ki-Won (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Lee, Ho-Sung (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Choi, Jae-Sung (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Seo, Ki-Hyun (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Oh, Mee-Hye (Department of Pathology, Soonchunhyang University College of Medicine) ;
  • Jou, Sung-Shick (Department of Radiology, Soonchunhyang University College of Medicine) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Na, Ju-Ock (Department of Internal Medicine, Soonchunhyang University College of Medicine)
  • 투고 : 2011.03.08
  • 심사 : 2011.06.16
  • 발행 : 2011.08.30

초록

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.

키워드

참고문헌

  1. McNeill PM, Wagman LD, Neifeld JP. Small bowel metastases from primary carcinoma of the lung. Cancer 1987;59:1486-9. https://doi.org/10.1002/1097-0142(19870415)59:8<1486::AID-CNCR2820590815>3.0.CO;2-W
  2. Mosier DM, Bloch RS, Cunningham PL, Dorman SA. Small bowel metastases from primary lung carcinoma: a rarity waiting to be found? Am Surg 1992;58:677-82.
  3. Sakorafas GH, Pavlakis G, Grigoriadis KD. Small bowel perforation secondary to metastatic lung cancer: a case report and review of the literature. Mt Sinai J Med 2003;70:130-2.
  4. Travis WD, Travis LB, Devesa SS. Lung cancer. Cancer 1995;75(1 Suppl):191-202. https://doi.org/10.1002/1097-0142(19950101)75:1+<191::AID-CNCR2820751307>3.0.CO;2-Y
  5. Fishback NF, Travis WD, Moran CA, Guinee DG Jr, McCarthy WF, Koss MN. Pleomorphic (spindle/giant cell) carcinoma of the lung. A clinicopathologic correlation of 78 cases. Cancer 1994;73:2936-45. https://doi.org/10.1002/1097-0142(19940615)73:12<2936::AID-CNCR2820731210>3.0.CO;2-U
  6. Beasley MB, Brambilla E, Travis WD. The 2004 World Health Organization classification of lung tumors. Semin Roentgenol 2005;40:90-7. https://doi.org/10.1053/j.ro.2005.01.001
  7. Lee DH, Park H, Park CK, Kwon KY, Park NH, Choi SY, et al. Clinical characteristics of pleomorphic carcinoma. Korean J Thorac Cardiovasc Surg 2003;36:397-403.
  8. Chang YL, Lee YC, Shih JY, Wu CT. Pulmonary pleomorphic (spindle) cell carcinoma: peculiar clinicopathologic manifestations different from ordinary non-small cell carcinoma. Lung Cancer 2001;34:91-7.
  9. Yoshimoto A, Kasahara K, Kawashima A. Gastrointestinal metastases from primary lung cancer. Eur J Cancer 2006;42:3157-60. https://doi.org/10.1016/j.ejca.2006.08.030
  10. Kim MS, Kook EH, Ahn SH, Jeon SY, Yoon JH, Han MS, et al. Gastrointestinal metastasis of lung cancer with special emphasis on a long-term survivor after operation. J Cancer Res Clin Oncol 2009;135:297-301. https://doi.org/10.1007/s00432-008-0424-0
  11. Burnette RE, Ballard BR. Metastatic pleomorphic carcinoma of lung presenting as abdominal pain. J Natl Med Assoc 2004;96:1657-60.
  12. Papp Z, Takács G, Petri I. Lung tumor with ileal metastasis, causing acute abdomen. Orv Hetil 2009;150:171-3. https://doi.org/10.1556/OH.2009.28401
  13. Mochizuki T, Ishii G, Nagai K, Yoshida J, Nishimura M, Mizuno T, et al. Pleomorphic carcinoma of the lung: clinicopathologic characteristics of 70 cases. Am J Surg Pathol 2008;32:1727-35. https://doi.org/10.1097/PAS.0b013e3181804302