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A case of metastasis-induced acute pancreatitis in a patient with small cell lung cancer.

Yamanashi K, Marumo S, Saitoh M, Kato M - Clin Case Rep (2014)

Bottom Line: We report a rare case of metastasis-induced acute pancreatitis (MIAP) from small cell lung cancer (SCLC) diagnosed on autopsy, indicating a diagnosis of MIAP with SCLC.Our case suggests that MIAP can arise as a complication of SCLC and has an extremely poor prognosis.

View Article: PubMed Central - PubMed

Affiliation: Respiratory Disease Center, Tazuke Kofukai Foundation, Medical Research Institute, Kitano Hospital Osaka, Japan ; Department of Respiratory Medicine, Kishiwada City Hospital Kishiwad\a, Osaka, Japan.

ABSTRACT
We report a rare case of metastasis-induced acute pancreatitis (MIAP) from small cell lung cancer (SCLC) diagnosed on autopsy, indicating a diagnosis of MIAP with SCLC. Our case suggests that MIAP can arise as a complication of SCLC and has an extremely poor prognosis.

No MeSH data available.


Related in: MedlinePlus

(A and B) Chest computed tomography images showing a massive right pleural effusion, a 100 × 83-mm mixed-density lung mass at the right lower lobe (A), and multiple masses in both lungs (B). (C) An abdominal contrast computed tomography image showing enlarged pancreas, a high-density area around the pancreas, and a 27 × 22-mm tumor from the pancreas head to the pancreas body.
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fig01: (A and B) Chest computed tomography images showing a massive right pleural effusion, a 100 × 83-mm mixed-density lung mass at the right lower lobe (A), and multiple masses in both lungs (B). (C) An abdominal contrast computed tomography image showing enlarged pancreas, a high-density area around the pancreas, and a 27 × 22-mm tumor from the pancreas head to the pancreas body.

Mentions: A 74-year-old man was admitted to our hospital with epigastralgia. Physical examination revealed that the patient had abdominal tenderness and guarding over the epigastrium. Laboratory data showed elevated levels of serum amylase (882 U/L; reference range: 37–125 U/L) and progastrin-releasing-peptide (proGRP; 5000 pg/mL; reference range: <81 pg/mL). Chest computed tomography (CT) showed massive right pleural effusion, a 100 × 83-mm mixed-density lung mass at the right lower lobe (Fig.1A) and multiple masses in both lungs (Fig.1B). Abdominal contrast CT showed enlarged pancreas, a high-density area around pancreas, and a 27 × 22-mm tumor from the pancreas head to the pancreas body (Fig.1C). Cytological examination of the pleural effusion revealed that the patient had small cell carcinoma. He had no history of excessive alcohol consumption, medication, or cholelithiasis. Thus, the clinical diagnosis was MIAP with SCLC.


A case of metastasis-induced acute pancreatitis in a patient with small cell lung cancer.

Yamanashi K, Marumo S, Saitoh M, Kato M - Clin Case Rep (2014)

(A and B) Chest computed tomography images showing a massive right pleural effusion, a 100 × 83-mm mixed-density lung mass at the right lower lobe (A), and multiple masses in both lungs (B). (C) An abdominal contrast computed tomography image showing enlarged pancreas, a high-density area around the pancreas, and a 27 × 22-mm tumor from the pancreas head to the pancreas body.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352361&req=5

fig01: (A and B) Chest computed tomography images showing a massive right pleural effusion, a 100 × 83-mm mixed-density lung mass at the right lower lobe (A), and multiple masses in both lungs (B). (C) An abdominal contrast computed tomography image showing enlarged pancreas, a high-density area around the pancreas, and a 27 × 22-mm tumor from the pancreas head to the pancreas body.
Mentions: A 74-year-old man was admitted to our hospital with epigastralgia. Physical examination revealed that the patient had abdominal tenderness and guarding over the epigastrium. Laboratory data showed elevated levels of serum amylase (882 U/L; reference range: 37–125 U/L) and progastrin-releasing-peptide (proGRP; 5000 pg/mL; reference range: <81 pg/mL). Chest computed tomography (CT) showed massive right pleural effusion, a 100 × 83-mm mixed-density lung mass at the right lower lobe (Fig.1A) and multiple masses in both lungs (Fig.1B). Abdominal contrast CT showed enlarged pancreas, a high-density area around pancreas, and a 27 × 22-mm tumor from the pancreas head to the pancreas body (Fig.1C). Cytological examination of the pleural effusion revealed that the patient had small cell carcinoma. He had no history of excessive alcohol consumption, medication, or cholelithiasis. Thus, the clinical diagnosis was MIAP with SCLC.

Bottom Line: We report a rare case of metastasis-induced acute pancreatitis (MIAP) from small cell lung cancer (SCLC) diagnosed on autopsy, indicating a diagnosis of MIAP with SCLC.Our case suggests that MIAP can arise as a complication of SCLC and has an extremely poor prognosis.

View Article: PubMed Central - PubMed

Affiliation: Respiratory Disease Center, Tazuke Kofukai Foundation, Medical Research Institute, Kitano Hospital Osaka, Japan ; Department of Respiratory Medicine, Kishiwada City Hospital Kishiwad\a, Osaka, Japan.

ABSTRACT
We report a rare case of metastasis-induced acute pancreatitis (MIAP) from small cell lung cancer (SCLC) diagnosed on autopsy, indicating a diagnosis of MIAP with SCLC. Our case suggests that MIAP can arise as a complication of SCLC and has an extremely poor prognosis.

No MeSH data available.


Related in: MedlinePlus