Massive lower gastrointestinal haemorrhage secondary to metastatic squamous cell carcinoma of the lung.

Clinically significant symptoms due to gastrointestinal metastases from primary lung cancers is rare. A case of life-threatening lower gastrointestinal haemorrhage secondary to metastatic squamous cell carcinoma of the lung is reported. Previous reports of such metastases are reviewed, with reference to management and prognosis. After resection of colonic metastases from squamous cell lung cancer, survival is similar to that for primary disease. It is suggested that patients with known or suspected squamous cell lung cancer presenting with lower gastrointestinal symptoms be managed as aggressively as those with no previous history of disease.

Primary renal ganglioneuroblastoma in an adult.

A rare case of primary renal ganglioneuroblastoma in a 68 year old female is presented. The authors believe this to be the first case report of this tumour arising in the kidney of an adult patient.

Clinical value of scrotal ultrasound in the investigation of scrotal pathology.

The investigation of scrotal swelling has been aided by the advent of scrotal ultrasound. We have reviewed 100 patients in whom 112 scans were performed. One quarter of this group presented with scrotal pain without swelling. Of these patients, 33% were shown to have normal testes on scan; the remainder all had benign disease. A similar number presented with scrotal pain and swelling and the majority were diagnosed on scan as having epididymitis. Nineteen patients were thought on clinical grounds to have tumours; 6 were proven at operation and all were correctly identified pre-operatively by scanning. Scrotal ultrasound is a useful investigation in the management of both painless and painful scrotal swellings.