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Endobronchial metastasis from stomach cancer
Author(s) -
Park Yong Beom,
Byun Young Sup,
Kim Se Kyu,
Yang Dong Gyu,
Chang Joon,
Kim Joo Hang,
Shin Dong Hwan,
Kim Sung Kyu,
Lee Won Young
Publication year - 1999
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1046/j.1440-1843.1999.00156.x
Subject(s) - medicine , stomach , adenocarcinoma , malignancy , metastasis , pathology , biopsy , chest radiograph , lung cancer , infiltration (hvac) , lung , cancer , radiology , gastroenterology , physics , thermodynamics
A young woman presented with a dry cough present during the previous 4 weeks. A chest radiograph demonstrated diffuse interstitial infiltration in both lower lung fields. Fibreoptic bronchoscopic examination revealed multiple 2–3 mm elevated nodules on the bronchial surface and a mucosal biopsy showed extensive subepithelial infiltration of poorly differentiated adenocarcinoma without definite precancerous alteration in the overlying epithelium. Studies for the evaluation of primary tumour focus were performed. Oesophagogastroduodenoscopy showed advanced gastric cancer of Borrmann type III, and mucosal biopsy of the stomach showed poorly differentiated adenocarcinoma. The patient was treated three times with systemic chemotherapy, but her condition deteriorated. Three months after diagnosis, she died of complicated pneumonia. This is a rare case of endobronchial metastasis from stomach cancer. The stomach is an unusual site of endobronchial metastasis from extrathoracic primary malignancy.