A Case of Lung Adenocarcinoma Metastasis to the Uterus and Uterine Appendages 15 Years After Partial Resection of the Lung.

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  • Inada Akira
    Internal Medicine, Wajima Municipal Hospital
  • Nishi Kouichi
    Division of Pulmonary Medicine, Ishikawa Prefectural Central Hospital
  • Asamoto Akihiro
    Division of Gynecology, Ishikawa Prefectural Central Hospital
  • Kurumaya Hiroshi
    Division of Pathology, Ishikawa Prefectural Central Hospital
  • Kasahara Kazuo
    The Third Department of Internal Medicine, Kanazawa University School of Medicine
  • Fujimura Masaki
    The Third Department of Internal Medicine, Kanazawa University School of Medicine

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Other Title
  • 切除１５年後に子宮および子宮付属器への転移をきたした肺腺癌の１例

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Abstract

Background. Lung adenocarcinoma metastasis to the uterus and uterine appendages is rare. Case. Right middle lobectomy for a lung adenocarcinoma was performed in a 52-year-old woman. In 1995, she underwent intralesional chemotherapy, because of recurrence in the right pleura. During follow-up, she was reported in 1999 to have the right axillary lymph node enlargement, which was found to be metastasis of the adenocarcinoma. On immunohistochemical examination, the specimen showed staining positive for surfactant apoprotein-A. We performed resection of uterus and its appendages, suggesting ovarian tumor. Resected uterus and its appendages showed widespread metastasis and the tumor cells showed positive staining for surfactant apoprotein-A. The primary lung tumor resected 15 years previously was also found to be positive for surfactant protein. Conclusion. We concluded that the tumor of the uterus and its appendages was metastasis from the primary lung adenocarcinoma resected 15 years previously.

Journal

  • Haigan

    Haigan 42 (4), 293-297, 2002

    The Japan Lung Cancer Society

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