Edição 2019

Metástases gástricas - uma raridade endoscópica

Catarina Martins da Cunha 1, Rui Marques Osório 2, Tânia Gago 1, Bruno Peixe 1, Horácio Guerreiro 1

1 Serviço de Gastrenterologia e 2 Serviço de Medicina Interna 1 – Centro Hospitalar Universitário do Algarve

A 57-year-old woman with a history of long-term heavy smoking was referred to the emergency department due to persistent vomiting after a traumatic brain injury. On admission, the computed tomography scan of the head showed multiple focal lesions resembling metastases. Further investigation identified a lung mass pointing to a tumor, although the fine needle aspiration cytology was inconclusive. Later on, due to suspected gastrointestinal bleeding presenting with melena, an esophagogastroduodenoscopy was performed. Several violaceous volcano-shaped and friable ulcers were found throughout the gastric body and biopsies were taken. The immunohistochemistry led to the definite diagnosis of non-small cell lung cancer. 

Outras fotos