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...
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Format: | Article |
Language: | English |
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Karger Publishers
2023-02-01
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Series: | Case Reports in Oncology |
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Online Access: | https://www.karger.com/Article/FullText/529060 |
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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 |