Ann Clin Otolaryngol | Volume 2, Issue 2 | Case Report | Open Access

Small Bowel Obstruction: A Result of Metastatic Head and Neck Squamous Cell Carcinoma

Dominique Sanchez¹, Laura Garcia-Rodriguez^2*, Beena Umar³ and Steven Chang²

¹Wayne State University School of Medicine, USA
²Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health System, USA
³Department of Pathology, Henry Ford Health System, USA

^*Correspondance to: Laura Garcia-Rodriguez 

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Abstract

Objective: To describe a case of metastatic squamous cell carcinoma of the larynx to the small bowel. Study
Design: Case report.
Methods: We describe a clinical case of a patient with recurrent T1bN0Mx Stage I squamous cell carcinoma of the glottis with metastasis five years after initial diagnosis and treatment, presenting itself as a small bowel obstruction. Review of current literature of distant metastasis was performed.
Results: The patient underwent emergent small bowel resection to relieve the obstruction, with intraoperative findings revealing a palpable mass. Histopathologic findings of the mass demonstrated metastatic squamous cell carcinoma, p63 positive.
Conclusion: Squamous cell carcinoma from the head and neck has a low incidence of distant metastasis especially in those with locoregional control after initial treatment. When present, it most commonly metastasizes to the lung followed by the liver and bone. Metastasis to the bowel is an even rarer entity.

Keywords:

Bowel; Metastatic; Larynx; Metastatic squamous cell carcinoma

Citation:

Sanchez D, Garcia-Rodriguez L, Umar B, Chang S. Small Bowel Obstruction: A Result of Metastatic Head and Neck Squamous Cell Carcinoma. Ann Clin Otolaryngol. 2017;2(2):1011.