PETER C. WITT, M.D.; EAPEN THOMAS, M.D.
This content is PDF only. Please click on the PDF icon to access.
To the editor: We found the article on extrahepatic biliary obstruction caused by small-cell lung cancer, which appeared in the April issue (1), interesting. However, we were surprised by the lack of histologic documentation of the presumed pancreatic metastases. Perhaps a skinny-needle biopsy of the pancreas might have been in order. Also, because partial obstruction to the common bile duct can be caused by small stones not visible on computed tomography or ultrasound scans, endoscopic or percutaneous transhepatic cholangiography would have been valuable.
We recently saw a patient with primary small-cell carcinoma of the pancreas associated with the syndrome of
WITT PC, THOMAS E. Extrahepatic Biliary Obstruction and Small-Cell Lung Carcinoma. Ann Intern Med. ;103:476. doi: 10.7326/0003-4819-103-3-476_1
Download citation file:
Published: Ann Intern Med. 1985;103(3):476.
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use