JAMES K. SCHMITT, M.D.
To the editor: Pancreatic metastases are frequently found at autopsy in patients with oat-cell carcinoma of the lung (1), but the combination of pancreatitis and diabetes mellitus secondary to metastatic oat-cell carcinoma has not been reported.
A 58-year-old nonobese man with a 60-pack/yr history of cigarette smoking was admitted to the hospital with malaise and abdominal pain of 2 weeks' duration. He was receiving no medications and had no history of alcohol abuse or biliary tract disease. Physical findings included ascites and marked epigastric tenderness. His serum amylase level was 250 IU/L (normal, 25 to 88). A chest radiograph showed
SCHMITT JK. Pancreatitis and Diabetes Mellitus with Metastatic Pulmonary Oat-Cell Carcinoma. Ann Intern Med. ;103:638–639. doi: 10.7326/0003-4819-103-4-638_2
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Published: Ann Intern Med. 1985;103(4):638-639.
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