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Surgical Intervention and Its Clinical Significance of Gastrointestinal Metastasis from Lung Cancer: A Series of 14 Cases

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Abstract

Gastrointestinal (GI) metastasis from lung cancer generally suggests the end-stage of the disease because it is already part of the systemic dissemination, thereby indicating poor prognosis. Its symptoms, such as perforation and hemorrhage, are frequently emergent, and immediate clinical decision is warranted, given the patient’s poor prognosis. Herein, we reported 14 cases of GI metastasis from lung cancer who underwent surgery in our department. The mean age was 63 years. The most frequent site and symptom of GI metastasis were the small intestine (64%) and hemorrhage (43%), respectively. Perforation occurred in three of the patients (21%), showing the worst prognosis compared with hemorrhage and obstruction. The median survival was 101 days (19–1651 days). The clinical and pathological factors of these patients were investigated. As evaluated in our case series, long-term survival might be achieved through resection with no residual tumor and with early detection of GI metastasis. Surgeons need to consider such insight when being consulted for patients who have lung cancer with abdominal symptoms.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Hokkaido Cancer Center, 3-54 Kikusui, Shiroishi-ku, Sapporo, 003-0804, Japan

    Ryota Koyama, Nozomi Minagawa, Yoshiaki Maeda, Toshiki Shinohara & Tomonori Hamada

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  1. Ryota Koyama
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  2. Nozomi Minagawa
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  3. Yoshiaki Maeda
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  4. Toshiki Shinohara
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  5. Tomonori Hamada
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Correspondence to Ryota Koyama.

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Koyama, R., Minagawa, N., Maeda, Y. et al. Surgical Intervention and Its Clinical Significance of Gastrointestinal Metastasis from Lung Cancer: A Series of 14 Cases. Indian J Surg 82, 540–544 (2020). https://doi.org/10.1007/s12262-019-02037-5

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  • DOI: https://doi.org/10.1007/s12262-019-02037-5

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