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Clinical-Medical Image - International Journal of Clinical & Medical Images (2023) Volume 10, Issue 6
Author(s): Soukaina Sabbahi*, Benamar A, Hassani W, Farhane FZ, Alami Z, El Mselmi Fz, AIT Erraisse M and Bouhafa T
Department of Radiation Therapy, Oncology Hospital Hassan II Fez, Morocco
Received: 15 May 2023, Manuscript No. ijcmi-23-98887; Editor assigned: 16 May 2023, Pre QC No. P-98887; Reviewed: 30 May 2023, QC No. Q-98887; Revised: 05 June 2023, Manuscript No. R-98887; Published: 12 June 2023, DOI:10.4172/2376-0249.1000898
Citation: Sabbahi S, Benamar A, Hassani W, Farhane FZ and Alami Z, et al. (2023) A Rare Case of Pancreatic Metastasis of Small-Cell Lung Cancer. Int J Clin Med Imaging 10: 898.
Copyright: © 2023 Sabbahi S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Metastases to the pancreas are rare in general and scares in cases of lungs primary lesion. They are discovered incidentally in most cases. Data on their incidence, diagnosis, prognosis and management remain insufficient. The discovery is usually made at an advanced stage of lung cancer with the presence of metastases to other organs. We reported the case of a patient undergoing oncology follow-up for lung CPC with discovery of adrenal and pineal gland metastases and pancreatic metastatic mass. His management remains palliative chemotherapy. Surgical treatment is not yet codified in these cases and remains at the discretion of the multidisciplinary oncology teams.
Lung cancers are diagnosed at a metastatic stage in 40–50% of cases [1]. Common metastases sites of lung cancers remain liver, adrenal, bone and kidney [1,2]. Pancreatic metastases of lung cancers are rare and incidental. It is usually seen at an advanced stage of the disease with other associated metastases. Data on its incidence, prognosis, diagnosis and treatment remain poor. Its incidence is 12% in post-mortem patients [1]. Its prognosis remains guarded given the often advanced stage of the pathology. Several methods of treatment as surgery management, chemotherapy and/or preoperative radiotherapy were proposed [3]. These metastases may raise a diagnosis issue between primary pancreatic or secondary lung cancer localization. In most cases, this diagnosis is made at a stage of multiple metastases in patients known to have primary lung cancer [3]. In the literature, most of the data have been provided by post-mortem examination of patients with primary lung cancer. However, studies are still needed to improve our knowledge of these pancreatic metastases and to improve the coding of their management.
Imaging examinations, in particular the computed tomography (CT) scan, play an essential role in the discovery of these pancreatic metastases. It remains the routine imaging examination for monitoring patients in oncology.
Case report
We reported a case of 66-year-old male, chronic smoker, followed for lung cancer, type CPC, metastatic.
On extension workup done by CCTAP CT at the University Hospital:
• Suspicious right mediastino-pulmonary tumor process, associated with mediastinal ADPs
• Secondary locations in the lung, lymph nodes, adrenal, pancreatic, peritoneal and pineal
Small-cell lung cancer; Pancreatic metastasis
None of the authors has any conflicts of interests to disclose.
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[3] Kurihara N, Saito H, Nanjo H, Konno H and Minamiya Y. (2017). Pancreatic metastasis from non-small-cell lung cancer diagnosed using endoscopic ultrasound-guided fine needle aspiration biopsy: A case report. Turk J Gastroenterol 28: 502-504.
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