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A 67-year-old man sought care for a month of persistent upper-abdominal fullness, discomfort and nausea. Gastroscopy found an ulcerated lesion along the greater curvature of the stomach.
Further imaging unexpectedly identified a large mass in the left lower lung with enlarged hilar and mediastinal lymph nodes and spread to the right second rib. Bronchoscopic biopsy confirmed small cell lung cancer. Biopsy of the gastric lesion showed the same neuroendocrine pattern, including TTF-1 expression, supporting spread from the lung to the stomach. Imaging also showed multiple pancreatic lesions considered suspicious for additional metastases.
He did not receive anticancer treatment and died several months after diagnosis.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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These are lay summaries of published cancer stories, for information only. No two cancers behave the same way, and nothing here predicts your own diagnosis or replaces advice from your oncology team. Read the full disclaimer