Pleomorphic Carcinoma Showing Rapid Growth, Multiple Metastases, and Intestinal Perforation

Pleomorphic carcinoma is a rare and very aggressive subtype of lung cancer that tends to grow rapidly and invade adjacent structures. Here we report a case of pleomorphic carcinoma with rapid growth, multiple metastases, and intestinal perforation. A 46-year-old man was admitted to our hospital beca...

Full description

Saved in:
Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(Supplement), pp.669-673
Main Authors: Koh, Hidefumi, Chiyotani, Atsushi, Tokuda, Toshiki, Suzumura, Hirofumi, Kamiishi, Nobufumi, Takahashi, Hidenori, Hirose, Shigemichi
Format: Article
Language:English
Subjects:
Carcinoma - secondary
Carcinoma - surgery
Diagnostic Imaging
Fatal Outcome
gastrointestinal metastases
Humans
Intestinal Neoplasms - secondary
Intestinal Neoplasms - surgery
intestinal perforation
Intestinal Perforation - etiology
Intestinal Perforation - surgery
lung cancer
Lung Neoplasms - complications
Lung Neoplasms - pathology
Male
Middle Aged
Neoplasm Metastasis
pleomorphic carcinoma
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pleomorphic carcinoma is a rare and very aggressive subtype of lung cancer that tends to grow rapidly and invade adjacent structures. Here we report a case of pleomorphic carcinoma with rapid growth, multiple metastases, and intestinal perforation. A 46-year-old man was admitted to our hospital because of lung abscess. Several antibiotics were administered for 2 weeks, but his condition did not improve. F18-fluorodeoxyglucose positron emission tomography revealed high uptake in the right lung, stomach, and pancreas. CT-fluoroscopic lung biopsy was performed, and a diagnosis of pleomorphic carcinoma was made. His performance status worsened each day, and the lung tumor grew within 1 month. In addition, sudden severe abdominal pain and tenderness developed 10 days after lung biopsy. He was diagnosed with gastrointestinal perforation, and he underwent surgery. However, he died 2 weeks after the surgery. Autopsy revealed the presence of an enormous tumor in the right lung and multiple metastases in the stomach, duodenum, intestine, bilateral kidneys, pancreas, gallbladder, right adrenal gland and thyroid.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.13-00167