Gastroduodenal metastases: an unusual initial manifestation of bronchogenic carcinoma. Report of two cases and review of the literature

Introduction, - Diagnosis of gastroduodenal metastases is rare. Primary tum ors are essentially melanomas and breast cancer, and exceptionally lung can cer. Exegesis, - We report two patients who have a diagnosis of gastroduodenal m etastases as initial manifestation of lung cancer, In one case, the patient died 3 weeks after the diagnosis. In the other case, chemotherapy was perf ormed and complete response was obtained for the gastric metastasis. After a few months, node recurrence was diagnosed and the patient died 8 months a fter the diagnosis. Conclusion, - We review the endoscopic and non-endoscopic literature and di scuss the different histological types and therapeutic strategies concernin g these unusual manifestations of lung cancer. (C) 2001 Editions scientifiq ues et medicales Elsevier SAS.