Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report

Pulmonary pleomorphic carcinoma (PPC) is a rare subtype of lung sarcomatoid carcinoma that has a poor prognosis, and no standard therapy has been established. Here, we report the case of a 74-year-old man with PCC who showed rare duodenal metastasis. He was referred to our hospital with a mass shado...

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Autores principales: Masayuki Matsuda, Yoshiro Kai, Suzuka Harada, Kentaro Suzuki, Shigeto Hontsu, Shigeo Muro
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Lenguaje:EN
Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/1f8fce7dedfb40a48e720681aeb9ef01
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spelling oai:doaj.org-article:1f8fce7dedfb40a48e720681aeb9ef012021-11-18T11:08:46ZDuodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report1662-657510.1159/000519664https://doaj.org/article/1f8fce7dedfb40a48e720681aeb9ef012021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519664https://doaj.org/toc/1662-6575Pulmonary pleomorphic carcinoma (PPC) is a rare subtype of lung sarcomatoid carcinoma that has a poor prognosis, and no standard therapy has been established. Here, we report the case of a 74-year-old man with PCC who showed rare duodenal metastasis. He was referred to our hospital with a mass shadow in the right lung. The patient was diagnosed with PPC clinical stage II B on the basis of immunohistochemical staining from bronchoscopy, and the tumor proportion score of programmed death-ligand 1 was 80%. He did not want any treatment. A year and a half later, progressive anemia was detected. The primary tumor was stable; however, abdominal computed tomography and esophagogastroduodenoscopy revealed a duodenal tumor with stenosis. He was diagnosed with duodenal metastasis from PPC, and he underwent gastrojejunal bypass surgery to prevent bowel obstruction. After surgery, he received pembrolizumab for chemotherapy. However, owing to the progression of peritoneum dissemination, he died 2 months later due to the onset of melena.Masayuki MatsudaYoshiro KaiSuzuka HaradaKentaro SuzukiShigeto HontsuShigeo MuroKarger Publishersarticlepleomorphic carcinomaduodenal metastasispembrolizumabNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1511-1515 (2021)
institution DOAJ
collection DOAJ
language EN
topic pleomorphic carcinoma
duodenal metastasis
pembrolizumab
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle pleomorphic carcinoma
duodenal metastasis
pembrolizumab
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Masayuki Matsuda
Yoshiro Kai
Suzuka Harada
Kentaro Suzuki
Shigeto Hontsu
Shigeo Muro
Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report
description Pulmonary pleomorphic carcinoma (PPC) is a rare subtype of lung sarcomatoid carcinoma that has a poor prognosis, and no standard therapy has been established. Here, we report the case of a 74-year-old man with PCC who showed rare duodenal metastasis. He was referred to our hospital with a mass shadow in the right lung. The patient was diagnosed with PPC clinical stage II B on the basis of immunohistochemical staining from bronchoscopy, and the tumor proportion score of programmed death-ligand 1 was 80%. He did not want any treatment. A year and a half later, progressive anemia was detected. The primary tumor was stable; however, abdominal computed tomography and esophagogastroduodenoscopy revealed a duodenal tumor with stenosis. He was diagnosed with duodenal metastasis from PPC, and he underwent gastrojejunal bypass surgery to prevent bowel obstruction. After surgery, he received pembrolizumab for chemotherapy. However, owing to the progression of peritoneum dissemination, he died 2 months later due to the onset of melena.
format article
author Masayuki Matsuda
Yoshiro Kai
Suzuka Harada
Kentaro Suzuki
Shigeto Hontsu
Shigeo Muro
author_facet Masayuki Matsuda
Yoshiro Kai
Suzuka Harada
Kentaro Suzuki
Shigeto Hontsu
Shigeo Muro
author_sort Masayuki Matsuda
title Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report
title_short Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report
title_full Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report
title_fullStr Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report
title_full_unstemmed Duodenal Metastasis of Pulmonary Pleomorphic Carcinoma: A Case Report
title_sort duodenal metastasis of pulmonary pleomorphic carcinoma: a case report
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/1f8fce7dedfb40a48e720681aeb9ef01
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AT yoshirokai duodenalmetastasisofpulmonarypleomorphiccarcinomaacasereport
AT suzukaharada duodenalmetastasisofpulmonarypleomorphiccarcinomaacasereport
AT kentarosuzuki duodenalmetastasisofpulmonarypleomorphiccarcinomaacasereport
AT shigetohontsu duodenalmetastasisofpulmonarypleomorphiccarcinomaacasereport
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