A Case of Non-small Cell Lung Cancer Presenting as Abdominal Pain and a Pancreatic Nodule.

Koh, Kyung Won; Kim, Hyeon Tae; Jang, Sang Eon; Kim, Yeo Myeong; Jin, Min Sun; Kim, Sang Bum; Kim, Hye Ryoun; Kim, Cheol Hyeon; Lee, Jae Cheol

doi:2009.67.1.42

Tuberc Respir Dis > Volume 67(1); 2009 > Article

Case Report

Tuberculosis and Respiratory Diseases 2009;67(1):42-46.
DOI: https://doi.org/10.4046/trd.2009.67.1.42 Published online July 1, 2009.

A Case of Non-small Cell Lung Cancer Presenting as Abdominal Pain and a Pancreatic Nodule.

Kyung Won Koh, Hyeon Tae Kim, Sang Eon Jang, Yeo Myeong Kim, Min Sun Jin, Sang Bum Kim, Hye Ryoun Kim, Cheol Hyeon Kim, Jae Cheol Lee

¹Department of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea. jclee@kcch.re.kr
²Department of Pathology, Korea Cancer Center Hospital, Seoul, Korea.
³Department of General Surgery, Korea Cancer Center Hospital, Seoul, Korea.

Abstract

Lung cancer frequently metastasizes to distant organs. However, solitary metastasis to the pancreas, with lung cancer as the source, is very rare. Most metastatic cases of the pancreas tend to be discovered in patients with widely disseminated malignant disease. In addition, patients with pancreatic metastases are often asymptomatic, the metastatic lesions are found incidentally, and are misdiagnosed as primary pancreatic tumors. We described the case of a 63-year-old man who presented with abdominal pain and a pancreatic nodule. The patient underwent resection of primary lung cancer followed by pylorus preserving pancreatoduodenectomy. The pancreatic nodule was confirmed as a solitary metastasis from lung cancer.

Key Words: Lung neoplasms, Solitary pancreatic metastasis, Abdominal pain