Metastasi del colon da tumore primitivo del polmone

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COD: 229-232 Categorie: ,

Andrea Pisani Ceretti, Gloria Goi, Matteo Barabino, Enrico De Nicola, Daniela Strada, Gabriele Bislenghi, Enrico Opocher

Ann. Ital. Chir., 2011 82: 229-232

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Lung cancer is the most common cause of cancer-related death in both men and women in Western countries. About
one-half of patients with lung cancer have metastatic disease at the time of initial diagnosis. Metastasis to the gastrointestinal
tract from primary lung cancer has rarely been described. The most common metastatic site is the small
bowel whereas large bowel secondary lesions are very rare. The majority of patients are referred to a surgeon only after
the intestinal secondary lesion becomes symptomatic posing a threat to the patient’s life. Although the outcome is still
unfavourable, the development of chemotherapy and of surgical techniques allows aggressive treatment when facing a single
intestinal metastasis from lung cancer.
Wereport on a case of a patient who came to our observation for a neoplastic stenosis of the descending colon with a
single liver secondarism. Histology proved both lesions to be metastases of primitive adenocarcinoma of the lung.

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