Synchronous primary adenocarcinoma of the lung and leiomyosarcoma of the small intestine

Intern Med. 2000 Aug;39(8):655-8. doi: 10.2169/internalmedicine.39.655.

Abstract

The occurrence of synchronous epithelial cancer of the lung and leiomyosarcoma of the small intestine is rare. We report here the case of a 62-year-old man with adenocarcinoma of the lung in clinical stage IIIB (T4N0M0). After two courses of chemotherapy (cisplatin, 80 mg/m2 and mitomycin C, 8 mg/m2) the patient developed symptoms of a small bowel obstruction. Palliative surgical resection was performed and a leiomyosarcoma of the small intestine was found and defined by an immunohistological study. The resection ameliorated the patient's symptoms. The patient died of disseminated adenocarcinoma 26 months following chemotherapy.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology*
  • Humans
  • Intestinal Neoplasms / pathology*
  • Intestinal Neoplasms / surgery
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / surgery
  • Intestine, Small
  • Leiomyosarcoma / pathology*
  • Leiomyosarcoma / surgery
  • Lung Neoplasms / pathology*
  • Male
  • Middle Aged
  • Neoplasms, Multiple Primary / pathology*
  • Neoplasms, Multiple Primary / surgery