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Non-small Cell Lung Cancer with Small Intestinal Metastasis-A Case Report and Review of the Literature

非小細胞肺癌合併小腸轉移-病例報告與文獻回顧

摘要


一位四十七歲男性因腹痛至本院求診,KUB檢查及腹部電腦斷層檢查香現有腸套疊合併腸阻塞現象。經緊急小腸機除手術,其病理報告為轉移性分化不良型癌細胞。而術前胸部X光也意外香現左下肺葉有一腫塊,後經細胞學證實為肺腺癌。經會診病理科醫師後,確定為肺腺癌合併小腸轉移。在肺癌病患的死後解剖中,我們可發現11%的病人有小腸轉移,但他們極少造成症狀。小腸轉移的症狀包括腸穿孔、腸阻塞、腸出血和腸套疊。手術可改善部分人的症狀但長期預後是不好的。

關鍵字

小腸轉移 肺腺癌 腸套疊

並列摘要


A 47-year-old male was admitted to our hospital, and underwent an exploratory laparotomy with small intestinal resection due to suspected small intestine intussusception. The pathology of the intestine showed metastatic poorly differentiated carcinoma. CXR showed a mass in the left lower lobe of the lung, and adenocarcinoma was proved by bronchoscopic biopsy. After consulting with the pathologist, adenocarcinoma of the lung with small intestinal metastasis was diagnosed. Intestinal metastasis was found in 11% of lung cancers at autopsy, but it rarely produced symptoms. However, intestinal metastasis may produce gastrointestinal perforation, obstruction, bleeding and intussusception. Surgery may palliate the symptoms of some patients, however, the prognosis is poor.

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