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Báo cáo khoa học: "Lung adenocarcinoma presenting as obstructive jaundice: a case report and review of literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lung adenocarcinoma presenting as obstructive jaundice: a case report and review of literature | BioMed Central World Journal of Surgical Oncology Open Access Review Lung adenocarcinoma presenting as obstructive jaundice a case report and review of literature Stephanos Pericleous1 Samrat Mukherjee2 and Robert R Hutchins 2 Address Department of HPB Surgery Imperial College Hammersmith Hospital campus Du Cane Road London UK and 2Department of HPB Surgery Royal London Hospital Whitechapel London UK Email Stephanos Pericleous - s.pericleous@imperial.ac.uk Samrat Mukherjee - samrat.mukherjee@rwh-tr.nhs.uk Robert R Hutchins - robert.hutchins@bartsandthelondon.nhs.uk Corresponding author Published II November 2008 Received 19 April 2008 __ A i .-iAAo Z.I-1A J.UA IIOZ U77 7010 nA Accepted 11 November 2008 World Journal of Surgical Oncology 2008 6 120 doi 10.11 86 1477-78 19-6- 120 This article is available from http www.wjso.com content 6 1 120 2008 Pericleous et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. 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 .