Nakayama Y, Yamaguchi M, Inoue K, Hamaguchi S, Tajima Y. Successful resection of colonic metastasis of lung cancer after colonic stent placement: A case report and review of the literature. World J Gastrointest Surg 2023; 15(7): 1549-1558 [PMID: 37555118 DOI: 10.4240/wjgs.v15.i7.1549]
Corresponding Author of This Article
Yoko Nakayama, MD, PhD, Surgeon, Department of Surgery, Oda Municipal Hospital, 1428-3 Oda-cho Yoshinaga, Oda 694-0063, Shimane, Japan. yoccon716@gmail.com
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yoko Nakayama, Keisuke Inoue, Department of Surgery, Oda Municipal Hospital, Oda 694-0063, Shimane, Japan
Minekazu Yamaguchi, Shunichi Hamaguchi, Department of General Medicine, Shimane University Faculty of Medicine, Izumo 693-8501, Japan
Yoshitsugu Tajima, Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Japan
Author contributions: Nakayama Y wrote the original draft; Yamaguchi M performed the operation; Hamaguchi S followed up with the patient; Yamaguchi M, Inoue K, and Hamaguchi S contributed to the writing, review, and editing; Tajima Y contributed to the supervision.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yoko Nakayama, MD, PhD, Surgeon, Department of Surgery, Oda Municipal Hospital, 1428-3 Oda-cho Yoshinaga, Oda 694-0063, Shimane, Japan. yoccon716@gmail.com
Received: April 4, 2023 Peer-review started: April 4, 2023 First decision: May 12, 2023 Revised: May 22, 2023 Accepted: May 24, 2023 Article in press: May 24, 2023 Published online: July 27, 2023 Processing time: 108 Days and 12.2 Hours
Abstract
BACKGROUND
Lung cancer is the leading cause of cancer deaths worldwide. Although lung cancer can metastasize to various organs such as the liver, lymph nodes, adrenal gland, bone, and brain, metastases to the digestive organs, especially the colon, are rare.
CASE SUMMARY
An 83-year-old man diagnosed with lung cancer received radiation and chemoimmunotherapy, resulting in a complete clinical response. One year after the initial lung cancer diagnosis, the patient presented with obstructive ileus caused by a tumor in the descending colon. An elective left hemicolectomy was successfully performed after the endoscopic placement of a self-expandable metallic stent (SEMS). Pathologically, the tumor of the descending colon was diagnosed as lung cancer metastasis. The postoperative course was uneventful, and the patient is in good condition 13 mo after surgery, with no signs of recurrence. The previous 23 cases of surgical resection of colonic metastasis from lung cancer were reviewed using PubMed to characterize their clinicopathological features and outcomes.
CONCLUSION
SEMS is useful for obstructive colonic metastasis as a bridge to surgery to avoid emergency operations.
Core Tip: Gastrointestinal metastases of lung cancer, especially colorectal metastases, are rare. We report a colonic obstruction caused by lung cancer metastasis to the descending colon, which was successfully treated with left hemicolectomy after endoscopic decompression with a self-expandable metallic stent. Although chemotherapy is the mainstay of treatment for gastrointestinal metastases of lung cancer, successful resection of solitary colonic metastases with prolonged survival suggests that surgical intervention may be the treatment of choice for selected patients with colonic metastasis from lung cancer.
