A Case of Primary Squamous Cell Carcinoma at the Abnormal Wall

Namika Fujikawa, Norihisa Hanada, Hirofumi Tagami, Tomiharu Akamine, Kan-yu Nakano^*, Kazunori Miura^** and Yoshitsugu Torigoe

Department of Surgery, National Citizens Health Center of Ueki Municipality, First Department of Surgery, Kumamoto University School of Medicine^*, Miura Pathological Diagnostic Service^**

A 75-year-old woman was admitted to our hospital for sudden right upper abdominal pain. Ultrasonography and computer tomography (CT) showed an abdominal tumor 5 cm in diameter. Aspiration biopsy showed squamous cell carcinoma. Blood chemistry examination showed marked elevation of squamous cell carcinoma (SCC) antigen and carcinoembryonic antigen (CEA). The esophagus, skin, lungs, and uterus showed no abnormalities. We completely resected the egg-sized tumor and part of the tenth rib, abdominal wall, and right lobe of the liver, which the tumor had invaded. We diagnosed primary squamous cell carcinoma arising from the right abdominal wall. Microscopic examination showed the tumor to be well-differentiated squamous cell carcinoma invading the liver. We found no such case in a 15-year review of the Japanese literature. The woman has had no recurrence in the 10 months since surgery. Serum SCC decreased to normal immediately after surgery, and continues to be normal.

Key words
squamous cell carcinoma of abdominal wall

Reprint requests
Namika Fujikawa Department of Surgery, National Citizens Health Center of Ueki Municipality 634 Mouno Ueki-cho Kamoto Gun, Kumamoto, 861-0134 JAPAN

Accepted
September 19, 2001

To read the PDF file you will need Abobe Reader installed on your computer.