Pancreatitis from metastatic small cell lung cancer successful treatment with endoscopic intrapancreatic stenting

Lung cancer metastases can occur in almost any organ. However, metastasis of small cell lung cancer to the pancreas is rare. Moreover, not all cases present with clinically diagnosed pancreatitis. We recently treated a patient with small cell lung carcinoma that invaded the pancreatic duct causing a...

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Bibliographic Details
Published in:The Korean journal of internal medicine 2006, 21(4), , pp.256-261
Main Authors: Woo, Jong-Shin, Joo, Kwang Ro, Woo, Yong Sik, Jang, Jae Young, Chang, Young Woon, Lee, 2nd, Joung, Chang, Rin
Format: Article
Language:English
Subjects:
Antineoplastic Agents - therapeutic use
Carcinoma, Small Cell - complications
Carcinoma, Small Cell - secondary
Carcinoma, Small Cell - therapy
Case Report
Cholangiopancreatography, Endoscopic Retrograde
Endosonography
Female
Follow-Up Studies
Humans
Lung Neoplasms - pathology
Lung Neoplasms - therapy
Middle Aged
Pancreatic Ducts - diagnostic imaging
Pancreatic Ducts - surgery
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - secondary
Pancreatic Neoplasms - therapy
Pancreatitis - diagnosis
Pancreatitis - etiology
Pancreatitis - surgery
Pneumonectomy
Prosthesis Implantation - methods
Stents
Tomography, X-Ray Computed
내과학
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Description
Summary:Lung cancer metastases can occur in almost any organ. However, metastasis of small cell lung cancer to the pancreas is rare. Moreover, not all cases present with clinically diagnosed pancreatitis. We recently treated a patient with small cell lung carcinoma that invaded the pancreatic duct causing acute pancreatitis. Generally, the treatment for tumor-induced acute pancreatitis is initially supportive followed by aggressive chemotherapy or surgery. If the patient can tolerate the insertion of an endoscopic intrapancreatic stent, this is performed in addition to chemotherapy and surgery; this approach offers a safe and effective treatment modality for such patients.
ISSN:1226-3303
2005-6648
DOI:10.3904/kjim.2006.21.4.256