CASE REPORT article
Front. Oncol.
Sec. Gastrointestinal Cancers: Colorectal Cancer
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1579029
This article is part of the Research TopicClinical Advances and Practice of Digestive System Cancer Progression and Metastasis Induced by Immune FactorsView all 4 articles
Metastatic Squamous Cell Carcinoma of Mediastinal Lymph Nodes From the Ileum: A Case Report and Literature Review
Provisionally accepted- Liaocheng People's Hospital, Liaocheng, China
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Mediastinal lymph node metastasis from squamous cell carcinoma (SCC) is one of the most common sites for regional metastasis in thoracic malignancies. However, SCC originating from the ileum is relatively rare. We herein report a case of mediastinal lymph node metastasis as the first manifestation of postoperative ileal SCC. No primary tumor was detected on comprehensive imaging studies and bronchoscopy in this patient, and endobronchial ultrasound (E-BUS) considered metastatic SCC. After undergoing four cycles of postoperative chemotherapy with the XELOX regimen, the patient experienced rapid disease progression; however, a subsequent change to a treatment regimen of paclitaxel and cisplatin resulted in a favorable response. This article details the patient's clinical presentation and treatment course and includes a literature review of primary SCCs arising from the jejunum and ileum, thereby enhancing understanding of these uncommon small intestine tumors.
Keywords: Squamous cell carcinoma, Mediastinal lymph nodes, Ileum, case report, metastasis
Received: 18 Feb 2025; Accepted: 08 Jul 2025.
Copyright: © 2025 Zhang, Yue, Zhao and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Haifeng Liu, Liaocheng People's Hospital, Liaocheng, China
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