Colonic metastasis of a lung carcinoma with ileocolic fistula
Colonic metastasis of a lung carcinoma with ileocolic fistula
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DOI：
10.1097/00004836-199806000-00031
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发表时间：
1998-06-01
影响因子：
2.9
通讯作者：
de Freitas, D
中科院分区：
文献类型：
--
作者：
Bastos, I;Gomes, D;de Freitas, D
在过去的20年里，有20例肺癌胃肠道转移的临床表现，只有3例在结肠（1，2）。在我们的病人，诊断建议的存在腹泻和血便。瘘管是例外的，因为转移瘤通常表现为梗阻或穿孔（1，3）。我们只发现一例十二指肠结肠瘘，经紧急剖腹手术诊断[4]。一旦临床检测到转移，在短时间内预示预后不良（3，5）。
DISCUSSIONIn the past 2 decades, 20 cases of gastrointestinal metastases from lung carcinoma with clinical manifestations have been reported, with only 3 in the colon (1, 2). In our patient, the diagnosis was suggested by the presence of diarrhea and bloody stool. The fistula is exceptional, because metastases usually present as an obstruction or perforation (1, 3). We found only one case of a duodenocolic fistula, diagnosed by emergency laparotomy (4). Once clinically detected, metastases augur a poor prognosis during a short time (3, 5).