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Obstructing primary squamous cell carcinoma of caecum: A case report
Bhabani Sankar Sahoo1, Sri Aurobindo Prasad Das1, Sonia Badwal2
1Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.
Annals of Medicine and Surgery (2012)
|June 23, 2022
Summary
Primary squamous cell carcinoma (SCC) of the colon is a rare cancer. This case highlights a cecal SCC presenting as bowel obstruction, managed with surgery and chemotherapy, emphasizing diagnostic challenges and treatment gaps.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Squamous cell carcinoma (SCC) of the colon is an exceptionally rare malignancy, often presenting as an unexpected pathological finding.
- Its clinical presentation closely mimics that of the more common adenocarcinoma, posing diagnostic challenges.
Observation:
- A case report details a 56-year-old male with primary SCC of the cecum.
- The patient presented with symptoms of small bowel obstruction, necessitating surgical intervention.
- The diagnosis of primary SCC was confirmed after excluding other potential primary sites.
Findings:
- The patient was managed with surgery followed by adjuvant chemotherapy.
- The rarity of colonic SCC limits the availability of standardized neoadjuvant and adjuvant therapeutic protocols.
Implications:
- This case underscores the importance of considering rare diagnoses in the differential of colonic malignancies.
- Further research is needed to establish evidence-based guidelines for the management of primary colonic SCC.
- Improved diagnostic strategies and treatment protocols are crucial for enhancing patient outcomes in rare gastrointestinal cancers.
