Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Intussusception Caused by Colonic Metastasis of Lung Cancer—Report of a Case—
Koichi FUJIKAWAShougo TOKUMARUHarufumi MAKINOMotoki NAGAIJouji YAMAMOTOJunkon NAKAYAMA
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2018 Volume 79 Issue 2 Pages 360-365

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Abstract
A 77-year-old man visited our hospital with abdominal pain. A chest CT scan revealed a 7-cm diameter mass in the right lung and an abdominal CT scan showed intussusception with a tumor in the lead in the sigmoid colon. We diagnosed the case as intussusception of the sigmoid colon and metastatic cancer of the lung, and performed sigmoid colectomy and biopsy of the lung tumor. The resected specimen was a type I tumor sized 45×45×40 mm in dimension. Immunohistochemical analysis yielded positive results for cytokeratin (CK) 7 and thyroid transcription factor-1(TTF-1), and a negative result for CK20. Intussusception caused by colonic metastasis of lung cancer was finally diagnosed. As intussusception caused by colonic metastasis of lung cancer is rare, we present our case with a review of the literature.
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© 2018 Japan Surgical Association
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