Small intestinal perforation caused by metastasis from squamous cell carcinoma of scalp—One case report

Abstract

The small bowel metastases from head and neck regions are extremely rare. The diagnosis and treatment of such kind of small bowel metastases remain unclear. This paper reports on a 53-year-old case with small intestine perforation caused by metastasis from squamous cell carcinoma of scalp. A er surgical treatment, the patient had a relatively be er survival. This paper shares the clinical experience we have learned from managing this patient in hope that it will help other medical professionals in oncology to recognize the disease.

Small intestinal perforation secondary to metastasis from skin squamous cell carcinoma: A case report and literature review

“…Squamous cell carcinoma (SCC) of the small bowel, either primary or metastatic, is rare. Interestingly, only four case reports have documented skin as the primary site of secondary tumors of the small intestine [ [3] , [4] , [5] , [6] ]. They are summarized in Table 1 .…”

“…Different modalities, such as small-bowel endoscopy, contrast studies, and CT scans, can be helpful. However, only 18F-2-fluoro-2-deoxy- d -glucose-positron emission tomography (FDG PET)/CT and capsule endoscopy have shown some early success in the diagnosis of small-bowel metastatic tumors [ 4 , 15 ].…”

“…There are only four case reports in the literature concerning secondary cutaneous SCC of the small bowel [ [3] , [4] , [5] , [6] ]. Known as a disease of late adulthood, with the exception of appearance at a younger age in immunocompromised patients, in these four case reports, the youngest patient was 53 years old and the oldest was 71 years old.…”

“…Fewer than 30 cases of primary SCC of the small intestine have been reported in the literature. Although there are few references of SCC metastasis in the small intestine, only in four case reports, the skin is the primary site [ [3] , [4] , [5] , [6] ].…”