Department of Gastroenterology, The Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China.
Department of Nephrology, Guizhou Hospital of The First Affiliated Hospital, Sun Yat-sen University, Guiyang 550000, Guizhou Province, China.
World J Gastroenterol. 2024 Aug 21;30(31):3717-3725. doi: 10.3748/wjg.v30.i31.3717.
Small cell lung carcinoma (SCLC) is highly susceptible to metastasis in the early stages of the disease. However, the stomach is an uncommon site of metastasis in SCLC, and only a few cases of this type of metastasis have been reported. Therefore, SCLC gastric metastases have not been systematically characterized and are easily missed and misdiagnosed.
We report three cases of gastric metastasis from SCLC in this article. The first patient presented primarily with cough, hemoptysis, and epigastric fullness. The other two patients presented primarily with abdominal discomfort, epigastric distension, and pain. All patients underwent gastroscopy and imaging examinations. Meanwhile, the immunohistochemical results of the lesions in three patients were suggestive of small cell carcinoma. Finally, the three patients were diagnosed with gastric metastasis of SCLC through a comprehensive analysis. The three patients did not receive appropriate treatment and died within a short time.
Here, we focused on summarizing the characteristics of gastric metastasis of SCLC to enhance clinicians' understanding of this disease.
小细胞肺癌(SCLC)在疾病早期极易发生转移。然而,胃是 SCLC 转移的罕见部位,仅有少数此类转移的病例报道。因此,SCLC 胃转移尚未得到系统描述,容易被漏诊和误诊。
本文报告了 3 例 SCLC 胃转移病例。第 1 例患者主要表现为咳嗽、咯血和上腹胀满。另外 2 例患者主要表现为腹部不适、上腹胀满和疼痛。所有患者均接受了胃镜和影像学检查。同时,3 例患者病变的免疫组化结果提示小细胞癌。最后,通过综合分析,这 3 例患者被诊断为 SCLC 胃转移。这 3 例患者未接受适当治疗,在短时间内死亡。
本文重点总结了 SCLC 胃转移的特征,旨在提高临床医生对该病的认识。