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一种罕见肿瘤:林奇综合征中的结肠鳞状细胞癌

An Unusual Tumor: Squamous Cell Carcinoma of the Colon in Lynch Syndrome.

作者信息

Sidhu Aaron S, Grewal Harneet

机构信息

Internal Medicine, Abrazo Community Health Network, Glendale, USA.

出版信息

Cureus. 2024 Jul 13;16(7):e64477. doi: 10.7759/cureus.64477. eCollection 2024 Jul.

Abstract

Primary squamous cell carcinoma of the colon and rectum is a rare malignancy. Most of the anatomical sites that are reported to be affected include the esophagus and anal canal. This report highlights the case of a 54-year-old male with a known history of Lynch syndrome and a previous diagnosis of colon cancer who was found to have a recurrence of malignancy affecting this unlikely area. The treatment strategies for this colorectal squamous cell carcinoma have not been thoroughly explored, so this report aims to highlight effective interventions, including surgical resection and neoadjuvant chemotherapy and radiation. There is a poor prognosis associated with this condition, as it does not typically present until the late stages; however, in this particular instance, early detection leads to improved outcomes.

摘要

结肠和直肠原发性鳞状细胞癌是一种罕见的恶性肿瘤。据报道,受影响的解剖部位大多包括食管和肛管。本报告重点介绍了一名54岁男性病例,该患者有林奇综合征病史且曾被诊断为结肠癌,现发现其在这个不太可能发生病变的区域出现了恶性肿瘤复发。目前尚未对这种结直肠鳞状细胞癌的治疗策略进行全面探索,因此本报告旨在强调有效的干预措施,包括手术切除、新辅助化疗和放疗。这种疾病的预后较差,因为它通常直到晚期才会出现;然而,在这个特殊病例中,早期发现带来了更好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0db/11318936/d055f95498af/cureus-0016-00000064477-i01.jpg

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