Metastatic small cell lung cancer causing biliary obstruction

We report a case with metastatic small cell lung cancer which first manifes ted with biliary obstruction due to metastasis. Prognosis of patients prese nting with jaundice due to hepatic parenchyma involvement is thought to be poor. However, the patient was successfully treated with percutaneous trans hepatic biliary drainage and combination chemotherapy with reduced dosage. We believe this to be the first such case report, despite the frequency of metastasis to the liver from small cell lung cancer.