Raphael Jomon C, Ram Thomas Samuel, Pavamani Simon, Choudharie Lisa, Viswanathan P N
Department of Radiation Oncology, Christian Medical College, Vellore, Tamilnadu, India.
J Cancer Res Ther. 2011 Apr-Jun;7(2):183-4. doi: 10.4103/0973-1482.82910.
Metastatic squamous cell carcinoma in the pyloroduodenal region is uncommon. Cases have been reported where carcinoma of the lung has presented with metastasis to the duodenum. We present here the case of a 57-year-old lady who was found to have a metastasis in pyloroduodenal region while on treatment for carcinoma cervix. The patient developed features of intestinal obstruction and endoscopy showed a growth extending from pyloric antrum to first part of duodenum up to the junction of first and second part. A biopsy was taken from the duodenal area and it was reported as metastatic squamous cell carcinoma. This is one of the few reported cases of hematogenous visceral metastasis from carcinoma cervix. Since the disease was found to be advanced and her performance status was poor, she was provided best supportive care.
幽门十二指肠区域的转移性鳞状细胞癌并不常见。已有报道称肺癌出现十二指肠转移的病例。我们在此报告一例57岁女性，她在接受宫颈癌治疗时被发现幽门十二指肠区域有转移。患者出现肠梗阻症状，内镜检查显示一个肿物从幽门窦延伸至十二指肠第一部直至第一和第二部交界处。从十二指肠区域取了活检，报告为转移性鳞状细胞癌。这是少数报道的宫颈癌血行性内脏转移病例之一。由于发现疾病已属晚期且她的身体状况较差，所以给予了最佳支持治疗。
