Gastric Metastases from Lung Adenocarcinoma Causing Gastrointestinal Bleeding
نویسندگان
چکیده
Metastases to the stomach are rare. They are commonly asymptomatic, and the diagnosis is usually established during autopsy. We present a patient known to have stage IV lung adenocarcinoma who presented with melena and shock. Endoscopy revealed multiple gastric nodules, which were proved to be metastatic deposits from her lung cancer. The possibility of gastric metastases should be kept in mind in patients presenting with gastrointestinal bleeding. Endoscopy and biopsy remain the gold standard for diagnostic testing in such patients.
منابع مشابه
Hemorrhagic gastric ulcer after endoscopic ultrasound-guided fine needle aspiration of a pancreatic adenocarcinoma.
A 64-year-old man presented with a chief complaint of back pain. A contrast-enhanced computed tomography (CT) scan showed a 3-cm hypovascular, irregular, tumorous lesion in the body of the pancreas invading the celiac, splenic, and common hepatic arteries (●" Fig.1a). Inferior vena cava (IVC) invasion was thought to be due to lymph nodemetastasis (●" Fig.1b), and thrombi in the peripheral veins...
متن کاملSimultaneous Esophageal and Gastric Metastases from Lung Cancer
We report of a patient with metastatic adenocarcinoma of the esophagus and stomach from lung cancer. The patient was a 68-year-old man receiving radiotherapy and chemotherapy for stage IV lung cancer, without metastases to the gastrointestinal (GI) tract at the time of the initial diagnosis. During the treatment period, dysphagia and melena newly developed. Upper GI endoscopy revealed geographi...
متن کاملترومبوز ورید طحالی ناشی از پانکراتیت مزمن: گزارش یک مورد و بررسی متون
Background: Chronic pancreatitis and perivasculitis is the most common etiology of splenic vein thrombosis (SVT). Reported in up to 45% of patients with chronic pancreatitis, SVT may also be seen in patients with acute pancreatitis and pancreatic adenocarcinoma. It causes a localized portal hypertension called sinistral portal hypertension. Unlike those with generalized portal hypertension, pat...
متن کاملRare Endoscopic Manifestation of Pancreatic Adenocarcinoma
Gastric ulcer secondary to direct invasion from pancreatic adenocarcinoma is rare. Metastases to the stomach have been commonly reported with melanoma and with primary tumors of the breast, lung, ovary, liver, colon and testis. We report a patient who presented with epigastric pain and in whom subsequently upper endoscopy showed a malignant gastric ulcer secondary to direct invasion from pancre...
متن کاملType B Lactic Acidosis in a Patient with Gastric Adenocarcinoma and Extensive Hepatic Metastases
OBJECTIVE We report the second case of gastric adenocarcinoma associated with type B lactic acidosis. CLINICAL PRESENTATION AND INTERVENTION An 81-year-old man presenting with upper gastrointestinal bleeding was found to have an advanced gastric adenocarcinoma. He had persistently elevated serum lactate attributed to malignancy-associated type B lactic acidosis as a diagnosis of exclusion. As...
متن کامل