[Acute pancreatitis and obstructive jaundice secondary to metastases from lung cancer]

Gastroenterol Hepatol. 2009 Dec;32(10):697-701. doi: 10.1016/j.gastrohep.2009.07.013. Epub 2009 Oct 2.
[Article in Spanish]

Abstract

Lung cancer is one of the most frequent neoplasms. The symptoms are due to the cancer itself, its extension, and associated paraneoplastic syndromes. Although biliopancreatic metastases are common, biliopancreatic involvement as the initial symptom of lung cancer--whether as pancreatitis or obstructive jaundice--is rare. We describe our clinical experience, reporting two patients with acute pancreatitis and one patient with obstructive jaundice as the clinical presentation of advanced lung cancer. We also provide a brief review that highlights the absence of guidelines in this situation.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / drug therapy
  • Adenocarcinoma / secondary*
  • Aged, 80 and over
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / complications
  • Carcinoma, Non-Small-Cell Lung / diagnosis
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Carcinoma, Non-Small-Cell Lung / secondary*
  • Carcinoma, Small Cell / complications
  • Carcinoma, Small Cell / diagnosis
  • Carcinoma, Small Cell / drug therapy
  • Carcinoma, Small Cell / secondary*
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholestasis, Extrahepatic / etiology
  • Cholestasis, Extrahepatic / surgery
  • Fatal Outcome
  • Humans
  • Jaundice, Obstructive / etiology*
  • Jaundice, Obstructive / surgery
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / secondary*
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Palliative Care
  • Pancreatic Neoplasms / complications
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / drug therapy
  • Pancreatic Neoplasms / secondary*
  • Pancreatitis / drug therapy
  • Pancreatitis / etiology*
  • Stents