Non‐small cell lung cancer with gastric metastasis and repeated gastrointestinal bleeding: A rare case report and literature review

The occurrence of gastrointestinal metastasis from lung carcinoma is rare. Compared with non‐small cell lung cancer (NSCLC), small cell lung cancer more commonly results in this sort of metastasis. Here, we report an unusual case of NSCLC initially without evidence of distant metastasis that develop...

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Published inThoracic cancer Vol. 12; no. 4; pp. 560 - 563
Main Authors Shih‐Chun, Chang, Shih‐Chiang, Huang, Chun‐Yi, Tsai, Shan‐Yu, Wang, Keng‐Hao, Liu, Jun‐Te, Hsu, Ta‐Sen, Yeh, Chun‐Nan, Yeh
Format Journal Article
LanguageEnglish
Published Melbourne John Wiley & Sons Australia, Ltd 01.02.2021
John Wiley & Sons, Inc
Wiley
Subjects
Biopsy
Breast cancer
Case Report
Case Reports
Chemotherapy
Endoscopy
Gastrointestinal bleeding
Gastrointestinal surgery
Lung cancer
Lymphatic system
Medical imaging
Medical prognosis
Metastasis
non‐small cell lung cancer
Ostomy
Patients
Radiation therapy
stomach
Thyroid gland
Tomography
Tumors
non-small cell lung cancer
stomach
Gastrointestinal bleeding
metastasis
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Summary:The occurrence of gastrointestinal metastasis from lung carcinoma is rare. Compared with non‐small cell lung cancer (NSCLC), small cell lung cancer more commonly results in this sort of metastasis. Here, we report an unusual case of NSCLC initially without evidence of distant metastasis that developed into gastric metastasis five months after the initial diagnosis, despite the primary lung cancer having a partial response to radiotherapy and chemotherapy. Serial radiological examinations and endoscopic biopsies of the gastric tumor confirmed that it was a metastatic carcinoma originating from the lung. The patient received a total gastrectomy for gastric metastasis due to repeated gastrointestinal bleeding. Non‐small cell lung cancer (NSCLC) with gastric metastasis is rarely reported. Recurrent gastrointestinal bleeding prevents treatment. Palliative total gastrectomy is feasible in these patients.
Bibliography:This work was supported by the Chang Gung Medical Research Program, Taiwan
ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
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ISSN:1759-7706
1759-7714
DOI:10.1111/1759-7714.13815