title: Perforation of the small bowel due to metastasis from tongue cancer.
abstract: Distant small bowel metastases from head and neck squamous cell carcinomas are extremely rare, and tongue cancer metastasizing to the small bowel has not been previously reported. We describe a 40-year-old male patient who underwent subtotal gross laryngectomy for squamous cell carcinoma of the tongue in February 2007 and then presented in November 2008 with severe abdominal pain. Abdominal computed tomography (CT) and X-rays revealed free air, suggesting intestinal perforation. Emergency surgery revealed a 10-mm perforation at the ileum and a palpable hard tumor at the perforation site. The ileum was resected, and pathologic findings showed squamous cell carcinoma at the perforation site, which was consistent with metastasis from tongue cancer.
authors.affiliation: Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Aoyagi
authors.forename: Keiji
authors.initials: K
authors.lastname: Matsuda
authors.forename: Ryu
authors.initials: R
authors.lastname: Shimada
authors.forename: Atsushi
authors.initials: A
authors.lastname: Horiuchi
authors.forename: Hajime
authors.initials: H
authors.lastname: Shibuya
authors.forename: Keisuke
authors.initials: K
authors.lastname: Nakamura
authors.forename: Hisae
authors.initials: H
authors.lastname: Iinuma
authors.forename: Tamuro
authors.initials: T
authors.lastname: Hayama
authors.forename: Hideki
authors.initials: H
authors.lastname: Yamada
authors.forename: Keijiro
authors.initials: K
authors.lastname: Nozawa
authors.forename: Soichiro
authors.initials: S
authors.lastname: Ishihara
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007414:Intestinal Neoplasms / Q000556:secondary* / Q000601:surgery*; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery*; D007421:Intestine, Small; D007825:Laryngectomy; D008297:Male; D014062:Tongue Neoplasms / Q000473:pathology* / Q000601:surgery