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Following histopathological analysis, as well as further imaging studies, the primary malignancy was eventually identified as a cSCC on her upper back. Palliative care was started and the patient died 8\u2005weeks following her initial presentation.<\/jats:p>","DOI":"10.1136\/bcr-2016-216929","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T17:24:41Z","timestamp":1483723481000},"page":"bcr2016216929","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Jejunal perforation: an unusual presentation of metastatic cutaneous squamous cell carcinoma (SCC) in an immunosuppressed patient"],"prefix":"10.1136","volume":"2017","author":[{"given":"N","family":"Hitchen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Warnapala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R M","family":"Fisher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Dua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Pratsou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Freebairn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.1","first-page":"234","article-title":"Immunosuppression and squamous cell carcinoma: a focus on solid organ transplant recipients","volume":"6","author":"Herman","year":"2007","journal-title":"Skimed"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0140-6736(73)91228-2","article-title":"Why are small-bowel tumours so rare?","volume":"1","author":"Lowenfels","year":"1973","journal-title":"Lancet"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.3","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19830301)51:5<878::AID-CNCR2820510521>3.0.CO;2-V"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.4","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/00004836-198109000-00015","article-title":"Carcinoma of the cervix involving the duodenum: case report and review of the literature","volume":"3","author":"Gurian","year":"1981","journal-title":"J Clin Gastroenterol"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.5","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1097\/00007611-198507000-00030","article-title":"Metastatic squamous cell carcinoma from the oesophagus occurring as small bowel obstruction","volume":"78","author":"Wang","year":"1985","journal-title":"South Med J"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.6","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2010.081000"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2010.01.013"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.8","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/0950-3528(90)90012-6","article-title":"Kaposi's sarcoma and lymphoma of the gut in AIDS","volume":"4","author":"Friedman","year":"1990","journal-title":"Bailliers Clin Gastroenterol"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.9","first-page":"186","article-title":"Solitary metastatic malignant stricture of the ileum: a rare cause of small bowel obstruction (a case report)","volume":"30","author":"Mathur","year":"1984","journal-title":"J Postgrad Med"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.10","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s11805-010-0548-2","article-title":"Small intestinal perforation caused by metastasis from squamous cell carcinoma of scalp- one case report","volume":"7","author":"Hong-Qu","year":"2010","journal-title":"Clin Oncol Cancer Res"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.11","first-page":"98","article-title":"A patient with metastatic melanoma of the small bowel","volume":"23","author":"Park","year":"2009","journal-title":"Oncology"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(99)70185-4"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.13","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(92)70144-5"},{"key":"2025042702173884000_2017.jan06_1.bcr2016216929.14","doi-asserted-by":"crossref","unstructured":"American Joint Committee on Cancer. 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