EDITOR'S QUIZ: GI SNAPSHOT

Weight loss and an abdominal mass after resection of a lung carcinoma

T Kiyokawa¹, Y Asato¹, Y Komuro¹, J Imura², F Yoshimi³, R Amemiya³

¹ Department of Surgery, Ibaraki Prefectural Central Hospital and Cancer Center, Ibaraki, Japan
² Department of Pathology, Ibaraki Prefectural Central Hospital and Cancer Center, Ibaraki, Japan
³ Department of Surgery, Ibaraki Prefectural Central Hospital and Cancer Center, Ibaraki, Japan

Correspondence to:
Correspondence to:
Dr Y Komuro
Department of Surgery, Ibaraki Prefectural Central Hospital and Cancer Center, 6528 Tomobe Koibuchi, Nishiibarakigun, Ibaraki 309-1793, Japan; komuro@kt.rim.or.jp

Keywords: solitary small intestine metastasis; pleomorphic carcinoma

The first 150 words of the full text of this article appear below.

A 47 year old man underwent a right upper lobectomy with resection of the chest wall for pleomorphic carcinoma of the lung in July 2003. In January 2004, he had abdominal pain and anorexia. Gastrointestinal endoscopy showed no remarkable findings. On admission, body temperature was 37.3°C. The abdomen was flat but tenderness was present in the lower abdomen. There was no rebound tenderness or muscle guarding. Faecal occult blood test was negative. Laboratory studies showed a white blood cell count of 17600/mm², haemoglobin 5.8 g/dl, and C reactive protein 10 mg/dl. Tumour markers were within normal limits. Abdominal computed tomography (CT) revealed an intra-abdominal lesion 8.2x7.9 cm in size (fig 1). No recurrence of lung cancer was observed on a chest CT. Intravenous cefmetazole sodium 4 g/day and catheter drainage were performed. Contrast study from the drainage tube revealed a connection between the mass and the . . . [Full text of this article]

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