<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462021000400291</article-id>
<article-id pub-id-type="doi">10.35366/103454</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Metástasis gastrointestinales secundarias a adenocarcinoma invasivo pulmonar en un paciente joven: a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Gastrointestinal metastases secondary to aggressive pulmonar adenocarcinoma in a young patient: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zurita-Aguirre]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Naveda-Pacheco]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Poveda-Granja]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marín-Castro]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital «Carlos Andrade Marín»  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Especialidades Espíritu Santo  ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>80</volume>
<numero>4</numero>
<fpage>291</fpage>
<lpage>295</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462021000400291&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462021000400291&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462021000400291&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El cáncer de pulmón es la principal causa de mortalidad en pacientes oncológicos a nivel mundial. Para que una célula se transforme a cancerígena necesita de varias mutaciones genéticas; dichas mutaciones se producen por múltiples factores predisponentes. La incidencia de este tipo de cáncer es más común en pacientes fumadores y mayores de 40 años; teniendo una aparición menos marcada en pacientes jóvenes.  Caso clínico:  Presentamos el caso de un paciente masculino de 23 años de edad referido de un hospital de primer nivel por diagnósticos de hemorragia digestiva alta más síndrome constitucional sin llegar a un diagnóstico de base y de difícil manejo. Se realizan exámenes en nuestro nosocomio, los cuales evidencian los hallazgos posteriormente descritos. El paciente tiene una evolución tórpida añadiéndose hemoptisis y signos de insuficiencia respiratoria, negándose a realizar biopsia, llegando a fallecer por múltiples complicaciones; familiares acceden a biopsia posmortem encontrando adenocarcinoma invasivo no mucinoso.  Conclusiones:  En el presente caso encontramos un paciente con un estadío avanzado de la enfermedad, que presenta un tumor altamente agresivo, como es común en estos casos. La interpretación errónea del cuadro clínico en estadíos iniciales y la falta de interés por parte del paciente para llegar a un diagnóstico conllevaron a un diagnóstico tardío posmortem; aunque desgraciadamente si se lograba un diagnóstico oportuno, el tratamiento oncológico hubiera sido pobre con una baja supervivencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Lung cancer is the type of cancer with the highest mortality in the whole world. For a cell to become cancerous it needs to undergo through several genetic mutations; which occur due to multiple predisposing factors. That is why in this type of cancer it is more common in smokers and patients over 40 years old; having less incidence in young patients.  Clinical case:  We present a case of a 23-year-old male patient referred from a first-level hospital duo to diagnoses of upper gastrointestinal bleeding + constitutional syndrome that were difficult to manage. Exams were made evidencing described later. Having a torpid evolution adding hemoptysis and signs of respiratory failure, refusing to perform a biopsy, eventually dying from multiple complications; relatives accept a post-mortem biopsy finding invasive non-mucinous adenocarcinoma.  Conclusions:  In the present case we found a patient in an advanced stage with a highly aggressive tumor as is common in these cases. The erroneous interpretation of the clinical case in the initial stages and the lack of importance on the part of the patient leading to a late diagnosis; although if we make an opportune diagnosis the oncological treatment is poor with a low survival.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer pulmón]]></kwd>
<kwd lng="es"><![CDATA[adenocarcinoma pulmón]]></kwd>
<kwd lng="es"><![CDATA[metástasis gástrica]]></kwd>
<kwd lng="es"><![CDATA[metástasis duodenal]]></kwd>
<kwd lng="es"><![CDATA[paciente joven]]></kwd>
<kwd lng="en"><![CDATA[Lung cancer]]></kwd>
<kwd lng="en"><![CDATA[lung adenocarcinoma]]></kwd>
<kwd lng="en"><![CDATA[gastric metastasis]]></kwd>
<kwd lng="en"><![CDATA[duodenum metastasis]]></kwd>
<kwd lng="en"><![CDATA[young patient]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[del Campo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rubio]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Nápoles]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Columbie]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aspectos clínicos y epidemiológicos en pacientes con cáncer de pulmón en un servicio de neumología]]></article-title>
<source><![CDATA[MEDISAN [Internet]]]></source>
<year>2018</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>394-405</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romaszko]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Doboszynska]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mutliple primary lung cancer: a literature review]]></article-title>
<source><![CDATA[Adv Clin Exp Med [Internet]]]></source>
<year>2018</year>
<volume>27</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>725-30</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dones]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An aggressive non-small cell lung cancer in nonsmokers: a case report of an unusual presentation of micropapillary lung adenocarcinoma]]></article-title>
<source><![CDATA[Respir Med Case Rep [Internet]]]></source>
<year>2017</year>
<volume>20</volume>
<page-range>125-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Feit]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gastrointestinal metastasis of primary lung cancer: an analysis of 366 cases]]></article-title>
<source><![CDATA[Oncol Lett [Internet]]]></source>
<year>2018</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>9766-76</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balla]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Subiela]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bollo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metástasis gastrointestinales de carcinoma pulmonar primario. Serie de casos y revisión sistemática de la literatura]]></article-title>
<source><![CDATA[Rev Cir Española [Internet]]]></source>
<year>2018</year>
<volume>96</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>184-97</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yen-Min]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Tsan-Yu]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Jim-Ray]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hui-Ping]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pei-Hung]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng-Hsu]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gastric and colonic metastases from primary lung adenocarcinoma: a case report and review of the literature]]></article-title>
<source><![CDATA[Oncol Lett [Internet]]]></source>
<year>2012</year>
<volume>4</volume>
<page-range>517-20</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[ES]]></given-names>
</name>
<name>
<surname><![CDATA[Byun]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gastric metastasis from primary lung adenocarcinoma mimicking primary gastric cancer]]></article-title>
<source><![CDATA[World J Gastrointest Oncol [Internet]]]></source>
<year>2015</year>
<volume>7</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>12-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Wen]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multiple gastrointestinal metastases of squamous-cell lung cancer: a case report]]></article-title>
<source><![CDATA[Medicine (Baltimore) [Internet]]]></source>
<year>2018</year>
<volume>97</volume>
<numero>24</numero>
<issue>24</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pararas]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Kirkilessis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pikoulis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Syrigos]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Pikoulis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A rare case of a metastatic lung squamous cell carcinoma to the large bowel and the liver]]></article-title>
<source><![CDATA[Cureus [Internet]]]></source>
<year>2021</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parker]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[McBride]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Forge]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Lalich]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bowel obstruction caused by colonic metastasis of lung adenocarcinoma: a case report and literature review]]></article-title>
<source><![CDATA[World J Surg Oncol [Internet]]]></source>
<year>2019</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>63</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perforation of small intestine secondary to metastatic lung adenocarcinoma: a case report]]></article-title>
<source><![CDATA[Medicine (Baltimore) [Internet]]]></source>
<year>2018</year>
<volume>97</volume>
<numero>49</numero>
<issue>49</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nasir]]></surname>
<given-names><![CDATA[UM]]></given-names>
</name>
<name>
<surname><![CDATA[Delle]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Swantic]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lenza]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A rare presentation of poorly differentiated lung carcinoma with duodenal metastasis and literature review]]></article-title>
<source><![CDATA[Case Rep Gastroenterol [Internet]]]></source>
<year>2020</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>186-96</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garavello]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fransvea]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Giacovazzo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Marino]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bowel perforation secondary to metastatic lung cancer: Report of two cases with literature review]]></article-title>
<source><![CDATA[Int J Surg Case Rep [Internet]]]></source>
<year>2018</year>
<volume>51</volume>
<page-range>331-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[Lo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Liang]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[BR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of surgical intervention in managing gastrointestinal metastases from lung cancer]]></article-title>
<source><![CDATA[World J Gastroenterol [Internet]]]></source>
<year>2011</year>
<volume>17</volume>
<numero>38</numero>
<issue>38</issue>
<page-range>4314-20</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blumenthal]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bumm]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Chaft]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McCoach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Perez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Scagliotti]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current status and future perspectives on neoadjuvant therapy in lung cancer]]></article-title>
<source><![CDATA[J Thorac Oncol [Internet]]]></source>
<year>2018</year>
<volume>13</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1818-31</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
