Perforation of the Small Bowel Due To Metastasis from Tongue Cancer—a Case Report
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Squamous cell carcinoma has a variety of modes of metastasis. Small-bowel metastasis from squamous cell carcinoma is extremely rare, and tongue cancer metastasizing to the small bowel has been previously reported in only one case in 2011 in Japan. We report a 60-year-old male diagnosed case of cancer tongue stage IV presented as intestinal perforation after the first cycle of palliative chemotherapy. An intraoperative frozen section from one of the mesenteric nodes was used to confirm M1 disease as the cause of perforation in mesenteric nodes as well as in the bowel wall. The perforated ileum was resected and ileostomy was done. We assume rapid infusion of 5-FU as a cause of rapid tumor necrosis and perforation. While handling stage IV oral SCC, this thing should be kept in mind.
KeywordsTongue cancer Small-bowel metastasis Small-bowel perforation Mesenteric metastasis
Arterial blood gas
Contrast-enhanced computed tomography
Squamous cell carcinoma
Gastro intestinal tract
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
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