Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report

Gastrointestinal metastases of lung cancer are relatively uncommon, yet occur at a higher frequency than would be expected among patients that exhibit a longer survival interval. Metastases that arise in the small intestines are often associated with no or few symptoms such that their early diagnosi...

Full description

Bibliographic Details
Main Authors: Yihua Zhong, Xianjun Tang, Bowen Deng
Format: Article
Language:English
Published: Karger Publishers 2023-02-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/529060
_version_ 1797869538002337792
author Yihua Zhong
Xianjun Tang
Bowen Deng
author_facet Yihua Zhong
Xianjun Tang
Bowen Deng
author_sort Yihua Zhong
collection DOAJ
description Gastrointestinal metastases of lung cancer are relatively uncommon, yet occur at a higher frequency than would be expected among patients that exhibit a longer survival interval. Metastases that arise in the small intestines are often associated with no or few symptoms such that their early diagnosis can be challenging. In this report, we describe an extremely rare case of a lung squamous cell carcinoma that had metastasized to the small intestine and was associated with symptoms of abdominal pain. The patient underwent capsule endoscopy which detected an irregular mass in the distal ileum that was hemorrhagic, after which laparoscopic ileal resection and anastomosis in parallel with partial bladder resection were performed. Subsequent pathological biopsy confirmed that the intestinal mass was consistent with metastatic squamous cell carcinoma. With surgery and subsequent maintenance therapy with targeted drugs, the survival of the patient was more than 6 months. As a noninvasive testing strategy, capsule endoscopy can be easily performed to support etiological diagnostic efforts in cases where other diagnostic options are lacking. Early diagnosis and therapeutic intervention can contribute to better prognostic outcomes for GMLC patients.
first_indexed 2024-04-10T00:13:06Z
format Article
id doaj.art-4570f7e51fec4fc8b606283551c69d2c
institution Directory Open Access Journal
issn 1662-6575
language English
last_indexed 2024-04-10T00:13:06Z
publishDate 2023-02-01
publisher Karger Publishers
record_format Article
series Case Reports in Oncology
spelling doaj.art-4570f7e51fec4fc8b606283551c69d2c2023-03-16T06:57:29ZengKarger PublishersCase Reports in Oncology1662-65752023-02-0116110210810.1159/000529060529060Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case ReportYihua Zhong0Xianjun Tang1Bowen Deng2Department of Gastroenterology, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, ChinaBreast Cancer Center, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, ChinaDepartment of Gastroenterology, Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, ChinaGastrointestinal metastases of lung cancer are relatively uncommon, yet occur at a higher frequency than would be expected among patients that exhibit a longer survival interval. Metastases that arise in the small intestines are often associated with no or few symptoms such that their early diagnosis can be challenging. In this report, we describe an extremely rare case of a lung squamous cell carcinoma that had metastasized to the small intestine and was associated with symptoms of abdominal pain. The patient underwent capsule endoscopy which detected an irregular mass in the distal ileum that was hemorrhagic, after which laparoscopic ileal resection and anastomosis in parallel with partial bladder resection were performed. Subsequent pathological biopsy confirmed that the intestinal mass was consistent with metastatic squamous cell carcinoma. With surgery and subsequent maintenance therapy with targeted drugs, the survival of the patient was more than 6 months. As a noninvasive testing strategy, capsule endoscopy can be easily performed to support etiological diagnostic efforts in cases where other diagnostic options are lacking. Early diagnosis and therapeutic intervention can contribute to better prognostic outcomes for GMLC patients.https://www.karger.com/Article/FullText/529060lung squamous cell carcinomametastasissmall intestinecapsule endoscopyabdominal pain
spellingShingle Yihua Zhong
Xianjun Tang
Bowen Deng
Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report
Case Reports in Oncology
lung squamous cell carcinoma
metastasis
small intestine
capsule endoscopy
abdominal pain
title Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report
title_full Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report
title_fullStr Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report
title_full_unstemmed Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report
title_short Capsule Endoscopy-Based Diagnosis of Lung Squamous Cell Carcinoma Associated with Abdominal Pain and Metastasis to Small Intestine: A Case Report
title_sort capsule endoscopy based diagnosis of lung squamous cell carcinoma associated with abdominal pain and metastasis to small intestine a case report
topic lung squamous cell carcinoma
metastasis
small intestine
capsule endoscopy
abdominal pain
url https://www.karger.com/Article/FullText/529060
work_keys_str_mv AT yihuazhong capsuleendoscopybaseddiagnosisoflungsquamouscellcarcinomaassociatedwithabdominalpainandmetastasistosmallintestineacasereport
AT xianjuntang capsuleendoscopybaseddiagnosisoflungsquamouscellcarcinomaassociatedwithabdominalpainandmetastasistosmallintestineacasereport
AT bowendeng capsuleendoscopybaseddiagnosisoflungsquamouscellcarcinomaassociatedwithabdominalpainandmetastasistosmallintestineacasereport