Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report

As a common malignant tumor, esophageal cancer is easy to relapse and distant metastasis, and the prognosis is very poor. Colon and rectal metastasis of esophageal cancer is extremely rare. This study reports a case of colorectal and rectal metastasis in an esophageal squamous cell carcinoma patient...

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Main Authors: Jianquan Yang, Wen Guo, Xuezhou Pang, Yuerong Tang, Yakun Zhang, Beilei Zeng, Yan Gui, Daiyuan Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1519922/full
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author Jianquan Yang
Wen Guo
Xuezhou Pang
Yuerong Tang
Yakun Zhang
Beilei Zeng
Yan Gui
Daiyuan Ma
author_facet Jianquan Yang
Wen Guo
Xuezhou Pang
Yuerong Tang
Yakun Zhang
Beilei Zeng
Yan Gui
Daiyuan Ma
author_sort Jianquan Yang
collection DOAJ
description As a common malignant tumor, esophageal cancer is easy to relapse and distant metastasis, and the prognosis is very poor. Colon and rectal metastasis of esophageal cancer is extremely rare. This study reports a case of colorectal and rectal metastasis in an esophageal squamous cell carcinoma patient. The patient was a 65-year-old man who presented with progressive swallowing obstruction. Gastroscopy and pathological biopsy revealed low-differentiated squamous cell carcinoma in the lower esophagus (32cm from the incisor). After completing the relevant examination, the patient was evaluated by the thoracic surgeon and showed no indication of surgery. Then the patient was received 2 cycles of Abraxane plus cisplatin with Sintilimab. After the treatment, the esophageal lesion was examined by Chest CT, and assesses again by the surgeon again and radical radiotherapy was recommended without indication of surgery. After radiotherapy, the patient underwent comprehensive imaging examination. Abdominal CT showed mass in the lower abdomen. Colonoscopy and pathological biopsy showed squamous cell carcinoma of colon and rectum. According to the pathological type and tumor monism, and communication with the pathologist, the patient was diagnosed to be esophageal cancer with rectal and colon metastasis. Through this case report, we hope to deepen the understanding of rare esophageal squamous cell metastasis, and comprehensive examination should be conducted before initial treatment to evaluate the tumor status.
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publisher Frontiers Media S.A.
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spelling doaj-art-7efd3bd5e56c4afaadd4da080c65a51c2025-08-20T02:16:14ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-04-011510.3389/fonc.2025.15199221519922Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case reportJianquan Yang0Wen Guo1Xuezhou Pang2Yuerong Tang3Yakun Zhang4Beilei Zeng5Yan Gui6Daiyuan Ma7Department of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaPharmacy Department, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaDepartment of Nuclear Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaAs a common malignant tumor, esophageal cancer is easy to relapse and distant metastasis, and the prognosis is very poor. Colon and rectal metastasis of esophageal cancer is extremely rare. This study reports a case of colorectal and rectal metastasis in an esophageal squamous cell carcinoma patient. The patient was a 65-year-old man who presented with progressive swallowing obstruction. Gastroscopy and pathological biopsy revealed low-differentiated squamous cell carcinoma in the lower esophagus (32cm from the incisor). After completing the relevant examination, the patient was evaluated by the thoracic surgeon and showed no indication of surgery. Then the patient was received 2 cycles of Abraxane plus cisplatin with Sintilimab. After the treatment, the esophageal lesion was examined by Chest CT, and assesses again by the surgeon again and radical radiotherapy was recommended without indication of surgery. After radiotherapy, the patient underwent comprehensive imaging examination. Abdominal CT showed mass in the lower abdomen. Colonoscopy and pathological biopsy showed squamous cell carcinoma of colon and rectum. According to the pathological type and tumor monism, and communication with the pathologist, the patient was diagnosed to be esophageal cancer with rectal and colon metastasis. Through this case report, we hope to deepen the understanding of rare esophageal squamous cell metastasis, and comprehensive examination should be conducted before initial treatment to evaluate the tumor status.https://www.frontiersin.org/articles/10.3389/fonc.2025.1519922/fullesophageal squamous cell carcinomarectal metastasiscolon metastasistreatmentcase report
spellingShingle Jianquan Yang
Wen Guo
Xuezhou Pang
Yuerong Tang
Yakun Zhang
Beilei Zeng
Yan Gui
Daiyuan Ma
Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report
Frontiers in Oncology
esophageal squamous cell carcinoma
rectal metastasis
colon metastasis
treatment
case report
title Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report
title_full Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report
title_fullStr Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report
title_full_unstemmed Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report
title_short Esophageal squamous cell carcinoma with colonic and rectal metastases: a rare case report
title_sort esophageal squamous cell carcinoma with colonic and rectal metastases a rare case report
topic esophageal squamous cell carcinoma
rectal metastasis
colon metastasis
treatment
case report
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1519922/full
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