Synchronous primary adenocarcinoma of the lung and leiomyosarcoma of the small intestine

The occurrence of synchronous epithelial cancer of the lung and leiomyosarc oma of the small intestine is rare. We report here the case of a 62-year-ol d man with adenocarcinoma of the lung in clinical stage IIIB (T4N0M0), Afte r two courses of chemotherapy (cisplatin, 80 mg/m(2) and mitomycin C, 8 mg/ m(2)) the patient developed symptoms of a small bowel obstruction. Palliati ve surgical resection was performed and a leiomyosarcoma of the small intes tine was found and defined by an immunohistological study. The resection am eliorated the patient's symptoms. The patient died of disseminated adenocar cinoma 26 months following chemotherapy.