Abstract
Although about 50% of lung cancers have distant metastasis at the time of initial diagnosis, colonic metastases are extremely rare. This report presents a rare clinical case of colonic metastasis from primary squamous cell carcinoma of the lung.A 60-year-old female with anorexia and fatigue was referred to the department of pulmonary surgery in our hospital. The patient was diagnosed with primary squamous cell carcinoma of the lung, T2b N3 M1b Stage IV, and chemoradiotherapy was initiated. This treatment led to a good partial response in the primary lung lesion without any new metastatic lesions.The patient developed left abdominal pain due to a bulky sigmoid colon tumor 6 months later, and was preoperatively diagnosed with primary colon cancer. She underwent colonic resection, and the pathology specimen demonstrated poorly differentiated squamous cell carcinoma that was suspected to be colonic metastasis from the primary lung cancer. The postoperative course was uneventful, and she was discharged. Chemotherapy for the lung cancer was scheduled in the department of pulmonary surgery.This report presented a rare case of colonic metastasis from lung cancer. When patients with advanced primary lung cancer complain of abdominal symptoms, we should consider gastrointestinal tract metastasis from lung cancer.
Highlights
Lung cancer is the most frequent cause of cancer death [1]
Case presentation A 60-year-old female with anorexia and fatigue was referred to the department of pulmonary surgery with a diagnosis of primary lung cancer
Rossi and colleagues [7] stated that gastrointestinal metastasis from lung cancer has probably been underdiagnosed in living patients because it is frequently regarded as part of a generalized metastatic disease or the lesions are considered to be side effects of chemotherapy, such as ulcers, enteritis, or colitis
Summary
Lung cancer is the most frequent cause of cancer death [1]. About 50% of all lung cancers have distant metastasis at the time of the initial diagnosis [2]. Case presentation A 60-year-old female with anorexia and fatigue was referred to the department of pulmonary surgery with a diagnosis of primary lung cancer. She had no past history of serious illnesses, operations or hospitalizations. The patient was diagnosed with primary squamous cell carcinoma of the lung, T2b N3 M1b (extrathoracic lymph node) Stage IV, and was treated with chemoradiotherapy. Chest and abdominal CT scan revealed reduction of the primary lung lesion and lymph nodes including lesser curvature of the stomach after this chemoradiotherapy, and no other tumor was detected.
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