A Case Report of Primary Squamous Cell Carcinoma of the Ileum

Hirokazu Suwa, Shigeru Yamagishi, Shoichi Fujii, Mitsuyoshi Ota, Chiko Sato, Kingo Hirasawa, Yasuhiko Nagano, Chikara Kunisaki, Takeshi Sasaki¹⁾ and Itaru Endo²⁾

Gastroenterological Center and Department of Pathology¹⁾, Yokohama City University Medical Center
Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine²⁾

We report a case of primary squamous cell carcinoma of the ileum. A 36-year-old man was admitted for right lower abdominal pain, and was diagnosed with squamous cell carcinoma of the ileum, suspect of direct invasion to sigmoid colon and right ureter, and liver metastasis detected in small intestinal fiber and abdominal CT. Two months after ileocecal resection, sigmoidectomy, and right ureterectomy, we conducted two-stage hepatectomy. Histopathologically, findings showed pure well -differentiated squamous cell carcinoma of the ileum and liver metastases. As of this writing 22 months after the last surgery, he has remained recurrence-free. Primary squamous cell carcinoma of the small intestine has, in so far as we know, been reported in only 3 cases in the Japanese and Engligh literature.

Key words
squamous cell carcinoma, ileum, liver metastasis

Reprint requests
Hirokazu Suwa Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine
3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004 JAPAN

Accepted
January 27, 2010

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