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Symptomatic duodenal metastasis from a small cell lung cancer primary: a rare case
  1. Panagiotis Armonis1,
  2. Jeffrey Leung2,
  3. Charles Murray3,
  4. Alberto Murino4
  1. 1 General Internal Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK
  2. 2 Division of Surgery and Interventional Science, UCL, London, UK
  3. 3 Gastroenterology, Royal Free Hospital, London, UK
  4. 4 Royal Free Unit for Endoscopy, Royal Free Hospital Liver Services, London, UK
  1. Correspondence to Dr Alberto Murino, Royal Free Unit for Endoscopy, Royal Free Hospital Liver Services, London, NW3 2QG, UK; a.murino{at}nhs.net

https://doi.org/10.1136/flgastro-2023-102456

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    An elderly man presented with chest pain and shortness of breath on a background of left lower lobe small cell lung cancer, previously treated with chemotherapy. Blood test showed iron deficiency anaemia requiring transfusion. An oesophagogastroduodenoscopy was performed, highlighting an external compression to the distal stomach and a 15 mm round lesion, with a central ulcerated depression and rolled edges in D3, which was …

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    Footnotes

    • Contributors PA: conceptualisation, data curation, resources, validation, writing. JL: conceptualisation, data curation, resources, validation, writing. CM: conceptualisation, supervision, validation. AM: conceptualisation, editing, supervision, validation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.