Abstract
A rare case of resected multiple intestinal metastases from lung cnacer was reported, together with a review of the Japanese literature in which authors were able to collect 77 similar cases.
The patient was a 43-year-old male, complaining of melena. Tumors were detected in the right lung, bilateral adrenals and upper jejunum after meticulous examinations.
An enteroenteric intersusception caused by a walnut sized tumor 20cm apart from the ligament of Treitz was found on laparotomy. And a total of 34 flat submucosal tumors, up to finger-tip sized, ranged 200cm distal from the intersusception. No hepatic or peritoneal metastasis was found at this time. Subtotal jejunal with partial ileal resection including all lesions was done. The patient died of multiple organ failure on the 36th postoperative day.
Autopsy and microscopic findings supported the opinion that these rare intestinal lesions have been originated from the lung cancer. Moreover, this was also clinically postulated, because adrenal metastases were less in intestinal cancer and more in lung cancer.
