Niu QG, Huang MH, Kong WQ, Yu Y. Stage IV non-small cell lung cancer with multiple metastases to the small intestine leading to intussusception: A case report. World J Clin Cases 2024; 12(26): 5960-5967 [PMID: 39286383 DOI: 10.12998/wjcc.v12.i26.5960]
Corresponding Author of This Article
Qi-Guang Niu, Doctor, Attending Doctor, Department of General Surgery, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xian Xia Road, Changning District, Shanghai 200336, China. 1594792830@qq.com
Research Domain of This Article
Surgery
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/
World J Clin Cases. Sep 16, 2024; 12(26): 5960-5967 Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5960
Stage IV non-small cell lung cancer with multiple metastases to the small intestine leading to intussusception: A case report
Qi-Guang Niu, Min-Hao Huang, Wei-Qi Kong, Yang Yu
Qi-Guang Niu, Department of General Surgery, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China
Min-Hao Huang, Wei-Qi Kong, Yang Yu, Department of General Surgery, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200050, China
Author contributions: Niu QG and Huang MH contributed to manuscript writing and editing, and data collection; Kong WQ contributed to data analysis; Niu QG and Yu Y contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential 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: Qi-Guang Niu, Doctor, Attending Doctor, Department of General Surgery, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xian Xia Road, Changning District, Shanghai 200336, China. 1594792830@qq.com
Received: March 26, 2024 Revised: June 19, 2024 Accepted: July 2, 2024 Published online: September 16, 2024 Processing time: 118 Days and 17.8 Hours
Abstract
BACKGROUND
Gastrointestinal tract metastasis from lung cancer is rare and compared to small cell lung cancer (SCLC), non-SCLC (NSCLC) is even less likely to metastasize in this manner. Additionally, small intestinal tumors can also present with diverse complications, some of which require urgent intervention.
CASE SUMMARY
In this report, we detail a unique case of stage IV lung cancer, where the presence of small intestine tumors led to intussusception. Subsequent to a small intestine resection, pathology confirmed that all three tumors within the small intestine were metastases from adenocarcinoma of the lung. The postoperative follow-up period extended beyond 14 mo.
CONCLUSION
In patients with stage IV NSCLC, local tumor control can be achieved with various treatments. However, if small intestinal metastasis occurs, surgical intervention remains necessary, as it may improve survival.
Core Tip: Small bowel metastases may occur in advanced lung cancer, leading to gastrointestinal obstruction and requiring aggressive surgical intervention. In such patients, survival may be improved if the gastrointestinal obstruction is relieved and the primary lung lesion can be controlled.
