2007 Volume 40 Issue 5 Pages 593-598
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.
