Background
Gastrointestinal (GI) metastases of lung cancer are quite rare, ranging from 0.2% to 1.7% in clinical series, even if they occur in 7.3– 12.2% of autopsy cases [1–3]. The small bowel is the most frequent site of metastatic lung cancer in the GI tract [4, 5]. Mostly asymptomatic, small bowel metastases from lung cancer are usually diagnosed only in the presence of life threatening symptoms, such as small bowel obstruction, perforation or bleeding.
This is the report of a patient with squamous cell carcinoma of the lung who was eventually diagnosed with small bowel metastases after recurrent episodes of GI bleeding.
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Multiple Choice Questionnaire
-
1)
At autopsy, the incidence of small bowel metastases from lung cancer is
-
a.
similar to the clinical incidence
-
b.
more frequent than the clinical incidence, with a frequency of 0.2–1.7%
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c.
more frequent than the clinical incidence, with a frequency of 7.3–12.2%
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d.
as high as 35–50% of cases
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e.
lower than the clinical incidence
-
a.
-
2)
Clinical presentation of significant small bowel metastases from lung cancer occurs
-
a.
only with gastrointestinal bleeding
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b.
with life threatening symptoms, such as small bowel obstruction, perforation or bleeding in the advanced stages of the disease
-
c.
with specific symptoms in the early stage of the disease
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d.
with severe gastrointestinal symptoms in the early stages of the disease
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e.
with mild gastrointestinal symptoms, such as diarrhea and abdominal pain in the advanced stages of disease
-
a.
-
3)
The most useful diagnostic methods for diagnosing small bowel metastases from lung cancer is/are
-
a.
upper endosopy
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b.
complete colonoscopy with exploration of the terminal ileum
-
c.
CT-PET scan
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d.
capsule endoscopy and CT-PET scan
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e.
none of the above
-
a.
-
4)
Surgery with the resection of the affected small bowel is
-
a.
curative
-
b.
palliative, especially for small bowel obstruction and GI bleeding
-
c.
high risk with a high mortality rate
-
d.
none of the above
-
e.
all the above
-
a.
1.c — 2.b — 3.d — 4.b
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Di Girolamo, E., de Bellis, M., Marone, P., D’Angelo, V., Belli, A., Rossi, G.B. (2013). Small Bowel Metastases from Squamous Cell Carcinoma of the Lung. In: Trecca, A. (eds) Atlas of Ileoscopy. Springer, Milano. https://doi.org/10.1007/978-88-470-5205-5_23
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