Clinical Endoscopy

Joo Young Lee

2 Articles

Simultaneous Esophageal and Gastric Metastases from Lung Cancer: Jae Yong Park, Seung Wook Hong, Joo Young Lee, Ji Hye Kim, Jin Woo Kang, Hyun Woo Lee, Jong Pil Im; Clin Endosc 2015;48(4):332-335. Published online July 24, 2015; DOI: https://doi.org/10.5946/ce.2015.48.4.332

We report of a patient with metastatic adenocarcinoma of the esophagus and stomach from lung cancer. The patient was a 68-year-old man receiving radiotherapy and chemotherapy for stage IV lung cancer, without metastases to the gastrointestinal (GI) tract at the time of the initial diagnosis. During the treatment period, dysphagia and melena newly developed. Upper GI endoscopy revealed geographic erosion at the distal esophagus and multiple volcano-shaped ulcers on the stomach body. Endoscopic biopsy was performed for each lesion. To determine whether the lesions were primary esophageal and gastric cancer masses or metastases from the lung cancer, histopathological testing including immunohistochemical staining was performed, and metastasis from lung cancer was confirmed. The disease progressed despite chemotherapy, and the patient died 5 months after the diagnosis of lung cancer. This is a case report of metastatic adenocarcinoma in the esophagus and stomach, which are very rare sites of spread for lung cancer.

Citations

Citations to this article as recorded by

Gastric Metastasis of Primary Lung Cancer: Case Report and Systematic Review With Pooled Analysis
Dong Tang, Jianjian Lv, Zhijing Liu, Shuhui Zhan, Yuqiang Gao
Frontiers in Oncology.2022;[Epub] CrossRef
Lung cancer metastasis to the gastrointestinal system: An enigmatic occurrence
Kanthi Rekha Badipatla, Niharika Yadavalli, Trupti Vakde, Masooma Niazi, Harish K Patel
World Journal of Gastrointestinal Oncology.2017; 9(3): 129. CrossRef

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Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors: Hee Seung Lee, Jong Soon Jang, Seungho Lee, Myeong Ho Yeon, Ki Bae Kim, Jae Geun Park, Joo Young Lee, Mi Jin Kim, Joung-Ho Han, Rohyun Sung, Seon Mee Park; Clin Endosc 2015;48(3):239-246. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.239

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Background/Aims

Ampullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis.

Methods

We compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy.

Results

Final diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken.

Conclusions

Endoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.

Citations

Citations to this article as recorded by

Outcomes of endoscopic papillectomy of ampullary carcinoma and factors affecting additional surgery
Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Noriaki Gibo, Eizaburo Ohno, Hiroki Kawashima
Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 110. CrossRef
When thoracic trauma does more good than harm: About an incidental finding of a gangliocytic paraganglioma of the ampulla of Vater
Guizani Rami, Mseddi Mohamed Ali, Hsairi Meriem, Saad Sarra, Zehani Alia, Ben Slima Mohamed
Clinical Case Reports.2024;[Epub] CrossRef
The Optimal Cutoff Value of Tumor Markers for Prognosis Prediction in Ampullary Cancer
Seungho Lee, Hongbeom Kim, Heeju Sohn, Mirang Lee, Hyesol Jung, Youngjae Jo, Youngmin Han, Wooil Kwon, Jin-Young Jang
Cancers.2023; 15(8): 2281. CrossRef
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Francisco Ramos-Muñoz, Luis Carlos Hinojosa-Arco, Jorge Francisco Roldán-de la Rúa, Ana Isabel García-Salguero, Miguel Ángel Suárez-Muñoz
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Journal of Gastroenterology and Hepatology.2021; 36(8): 2315. CrossRef
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Predictive factor of recurrence after endoscopic papillectomy for ampullary neoplasms
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Surgical ampullectomy: A comprehensive review
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Methods and outcome of the endoscopic treatment of ampullary tumors
Jan-Werner Poley, Sara Campos
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Signet-ring cell carcinoma of the ampulla of Vater: a case diagnosed via repeated biopsies
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New experience of endoscopic papillectomy for ampullary neoplasms
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How to Improve Diagnostic Accuracy in Suspicious Ampullary Lesions?
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Papilla biyopsisinin tanısal değeri
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