Usefulness of immunohistochemical studies in diagnosing XXXX and small intestinal metastases from @entity2 with @entity360 : a case report.

@entity1 @entity1085 @entity417 @entity5 @entity2 @entity4056 @entity5822 @entity1086 @entity476 @entity360 @entity7457
Isolated metachronous gastrointestinal metastases from @entity5 are rarely diagnosed on the basis of symptoms and resected. In this report, we present a case of resectable @entity1085 and small intestinal metastases of @entity2 . An 86-year-old @entity1 was treated for @entity2 with resection of the right inferior lobe. Five months after the surgery, she was re-admitted because of @entity476 and @entity417 . Ultrasonography showed a @entity1086 with @entity360 , and laparoscopic-assisted cholecystectomy was subsequently performed. However, 2  months after this event, the @entity1 presented again with @entity476 and @entity417 and was diagnosed with a small @entity4056 . Therefore, laparoscopic-assisted partial resection of the small intestine was performed. Immunohistochemical staining for @entity7457 and @entity5822 confirmed that the two resected @entity5 were metachronous metastases of the primary @entity2 . The @entity1 died of liver metastases 5  months after the last surgery. Our experience with this case suggests that surgical resection might not be curative but palliative for @entity1 with @entity1085 and small intestinal metastases diagnosed on the basis of @entity476 that is resistant to conservative treatment.
