食道的鱗狀上皮細胞癌很少轉移到小腸或是腸系膜的淋巴結。過去曾報導過的這類病例多半是以腸阻塞的症狀呈現。我們報告的病例則是第一例以腸道出血為症狀來呈現。
這位五十四歲的男性罹患食道鱗狀上皮細胞癌，並主訴近日有解黑便。腹部電腦斷層掃描發現在空腸腸道內有疑似轉移的腫塊。電腦斷層影像導引採樣切片送檢的結果確定是轉移的鱗狀上皮細胞癌。在給予 15 Gy 之放射線治療後，他已停止解黑便。文中並整理比較過去類似病例之治療方式，討論可能的轉移路徑，及放射線治療止血的相關機制。

Small bowel or mesenteric lymph node metastases from esophageal squamous cell carcinomas are rare. When it happens, most reported cases present as intestinal obstruction. The patient we repor t here suffered from intestinal tumor bleeding associated with metastasis from esophageal squamous cell carcinoma to the jejunum. This, to our knowledge, would be the first case ever reported. Our patient was a 54 –year old man with squamous cell carcinoma of the esophagus, who had suffered from tarry stool. Abdominal computed tomography (CT) showed a mass occupying the jejunal cavity. The CT-guided biopsy proved that the mass was metastatic squamous cell carcinoma, which had originated from his esophageal cancer. Tumor bleeding came under control after 1500 cGy of radiation. We also review similar published case reports and discuss the routes of metastasis and the possible mechanisms of arresting intestinal bleeding by irradiation.