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Metastatic Squamous cell Carcinoma of the Small Intestine with Bowel Perforation: Report of a Case

小腸轉移性扁平上皮癌合併腸穿孔:一病例報告

摘要


肺癌轉移至小腸在臨床上並不常見。我們提出一位64歲女性,過去病史有肺癌(扁平上皮癌)合併多處轉移並有接受化學治療,她這次主要是因爲下腹疼痛及發燒超過兩天住院,住院期間電腦斷層發現在迴腸有一腫瘤並造成腸子幾乎完全阻塞以及疑似局部膿瘍產生,探察性手術發現在末端迴腸處有一腫瘤並造成腸子破裂及膿瘍產生,經手術切除腫瘤及膿瘍清創後,病理報告發現腫瘤是低度分化型扁平上皮癌。

關鍵字

小腸轉移癌 肺癌 腸穿孔

並列摘要


Small bowel metastasis from lung cancer is rare. We report a 64-year-old woman with lung cancer (squamous cell carcinoma) complicated with multiple site metastasis and treated with chemotherapy. She suffered from low abdominal pain and fever for more than two days. Abdominal computerized tomography revealed a mass lesion at the ileum with nearly total obstruction of the bowel and suspicion of focal abscess formation. Exploratory laparotomy was performed and a small intestine tumor was found at the ileum with tumor necrosis, bowel perforation and abscess formation. Segmental resection of the small intestine with end to end anastomosis and abscess debridement were performed. The pathological report showed poorly differentiated metastatic squamous cell carcinoma. The present report describes this unusual case and reviews the literature regarding the incidence, complications and treatment of small bowel metastasis from lung cancer.

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