Primary colonic squamous cell carcinoma: a case report and review of the literature.

Szczegóły
Abstrakt

Tytuł:: Primary colonic squamous cell carcinoma: a case report and review of the literature.
Autorzy:: Linardoutsos D; Department of Colorectal Surgery, Barts Health NHS Trust, London UK.; First Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration General Hospital, Athens, Greece.
Frountzas M; First Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration General Hospital, Athens, Greece.
Feakins RM; Department of Histopathology, Barts Health NHS Trust, London UK.
Patel NH; Department of Colorectal Surgery, Barts Health NHS Trust, London UK.
Simanskaite V; Department of Histopathology, Barts Health NHS Trust, London UK.
Patel H; Department of Colorectal Surgery, Barts Health NHS Trust, London UK.
Źródło:: Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2020 Nov; Vol. 102 (9), pp. e1-e7. Date of Electronic Publication: 2020 Jun 15.
Typ publikacji:: Case Reports; Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: London : Royal College of Surgeons of England
MeSH Terms:: Carcinoma, Squamous Cell/*surgery
Colonic Neoplasms/*surgery
Aged ; Carcinoma, Squamous Cell/diagnosis ; Carcinoma, Squamous Cell/pathology ; Colectomy ; Colon/pathology ; Colon/surgery ; Colonic Neoplasms/diagnosis ; Colonic Neoplasms/pathology ; Female ; Humans
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Contributed Indexing:: Keywords: Colorectal cancer; Squamous cell carcinoma
Entry Date(s):: Date Created: 20200616 Date Completed: 20201111 Latest Revision: 20240330
Update Code:: 20240330
PubMed Central ID:: PMC7591611
DOI:: 10.1308/rcsann.2020.0149
PMID:: 32538102
: Czasopismo naukowe

Colonic squamous cell carcinoma is extremely rare, with no clear pathogenesis. It usually presents as an emergency. We present the surgical management of a descending colon squamous cell carcinoma, together with a review of the available cases of colonic squamous cell carcinoma in the literature. A 69-year-old woman presented with a palpable mass and abdominal pain. She underwent ultrasound and colonoscopy, which revealed a large obstructing mass at the descending colon, the biopsies of which were not diagnostic. Unfortunately, she was readmitted with bowel obstruction and underwent extended right hemicolectomy with en-bloc excision of attached small bowel and omentum because of local mass expansion. Histopathological analysis demonstrated squamous cell carcinoma with lymph node metastases. Palliative chemotherapy followed, owing to liver and peritoneal deposits. Sixty-six cases of colonic squamous cell carcinoma have been reported in the literature. The most common location is the right colon. Most cases present at a late stage. Several theories for the pathogenesis of colonic squamous cell carcinoma have been reported; the most popular is the squamous transformation of a pluripotent stem cell.

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