Wang Dandan, Li Zhe-Xuan, Hu Lanlin, Wang Ying, Xu Senlin, Xu Chuan
Department of Oncology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Department of Oncology & Cancer Institute, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Front Oncol. 2025 Apr 30;15:1550917. doi: 10.3389/fonc.2025.1550917. eCollection 2025.
Malignant tumors derived from the small intestine are rare, and most are adenocarcinomas. Primary squamous cell carcinoma of the small intestine is sporadic with a few cases reported in the literature. This study reports a case of a 56-year-old female who had a history of leakage of exudate for more than 40 years after an appendectomy. The patient presented with increasing leakage of exudate, abdominal pain, and fever this time, and was diagnosed with primary squamous cell carcinoma of the ileal after an intestinal resection and a fascial plasty. The patient declined to receive adjuvant chemotherapeutic treatment and died 9 months after the diagnosis of the tumor. Additionally, we reviewed 26 reported cases, summarized the clinical features and treatments, and discussed the potential pathogenesis and optional therapeutic strategies for primary squamous cell carcinoma of the small intestine.
源自小肠的恶性肿瘤很罕见,且大多数是腺癌。小肠原发性鳞状细胞癌呈散发性,文献中仅有少数病例报道。本研究报告了一例56岁女性患者,该患者在阑尾切除术后有超过40年的渗出液渗漏病史。此次患者出现渗出液渗漏增加、腹痛和发热症状,经肠道切除和筋膜成形术后被诊断为回肠原发性鳞状细胞癌。患者拒绝接受辅助化疗,在肿瘤诊断9个月后死亡。此外,我们回顾了26例已报道病例,总结了其临床特征和治疗方法,并讨论了小肠原发性鳞状细胞癌的潜在发病机制和可选治疗策略。