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Published in: World Journal of Surgical Oncology 1/2008

Open Access 01-12-2008 | Review

Lung adenocarcinoma presenting as obstructive jaundice: a case report and review of literature

Authors: Stephanos Pericleous, Samrat Mukherjee, Robert R Hutchins

Published in: World Journal of Surgical Oncology | Issue 1/2008

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Abstract

Background

Lung cancer is known to metastasize to the pancreas with several case reports found in the literature, however, most patients are at an advanced stage and receive palliative treatment.

Case presentation

We describe the case of a 56 year old male patient who presented with a picture of obstructive jaundice. Investigations revealed an obstructing lesion in the pancreas and a further lesion in the lung with benign appearances. The patient underwent a pancreatectomy and, unexpectedly, the histology of the resected specimen demonstrated metastatic adenocarcinoma of bronchogenic origin. He was referred to a cardiothoracic team who proceeded to resect the patient's thoracic lesion before administration of adjuvant chemotherapy. The patient was reviewed 18 months post operatively and remains symptom free with no clinical or radiological evidence of recurrence. We were unable to identify any previous case reports (of lung adenocarcinoma) with such a presentation which were ultimately treated with resection of both lesions.

Conclusion

Similar situations are bound to arise again in the future and we believe that this report could demonstrate that there is a case for aggressive surgical management in a highly selected group of patients: those with NSCLC and a synchronous solitary pancreatic deposit.
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Metadata
Title
Lung adenocarcinoma presenting as obstructive jaundice: a case report and review of literature
Authors
Stephanos Pericleous
Samrat Mukherjee
Robert R Hutchins
Publication date
01-12-2008
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2008
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-6-120

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