AlOmran Hadeel, AlBayyat Layla, AlMiman Hisham, Boqari Deena, AlDuhileb Mohammed, Madkhali Tariq
Department of General Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Department of Pathology, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Int J Surg Case Rep. 2020;68:154-157. doi: 10.1016/j.ijscr.2020.02.011. Epub 2020 Feb 7.
Metastatic lesions from head and neck tumours to the small bowel are extremely rare, and metastasis from tongue squamous cell carcinoma in particular has been reported only twice in the English literature.
A 76 year-old lady diagnosed with a loco-regionally advanced tongue squamous cell carcinoma but deferred surgical resection. Seven months later after her diagnosis, she presented with generalized abdominal pain, due to image-proven viscous perforation, thus taken for emergent exploratory laparotomy, where the perforation was found at the distal ileum, which was resected, and a primary side to side anastomosis was done. The histopathological examination of the resected segment revealed squamous cell carcinoma originating from the tongue. The patient was deteriorating clinically and vitally during her stay, and passed away on day 16 post operation due to multi-organ dysfunction syndrome.
Metastatic lesions from tongue carcinoma found in the vicinity of the small bowel represent a terminal stage with a dismal prognosis, and when these lesions present clinically with a complicated course, the survival rate is decreased significantly.
头颈部肿瘤转移至小肠极为罕见，尤其是舌鳞状细胞癌转移在英文文献中仅报道过两例。
一名76岁女性被诊断为局部晚期舌鳞状细胞癌，但推迟了手术切除。诊断后七个月，她因影像证实的肠穿孔出现全腹痛，遂接受急诊剖腹探查术，术中发现回肠末端穿孔，予以切除，并进行了端端吻合术。切除段的组织病理学检查显示为源自舌部的鳞状细胞癌。患者住院期间临床和生命体征不断恶化，术后第16天因多器官功能障碍综合征死亡。
在小肠附近发现的舌癌转移灶代表疾病终末期，预后不佳，当这些病灶临床病程复杂时，生存率会显著降低。
