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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Karger Publishers
2021
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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) |
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pleomorphic carcinoma duodenal metastasis pembrolizumab Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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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 |
work_keys_str_mv |
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_version_ |
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