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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 3/2017

01-03-2017 | GI Image

Anal adenocarcinoma presenting as a non-healing ischiorectal wound

Authors: Dedrick Kok Hong Chan, Ker-Kan Tan

Published in: Journal of Gastrointestinal Surgery | Issue 3/2017

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Abstract

We describe the diagnosis and management of a patient with a progressively enlarging, non-healing ischiorectal wound. This patient was further evaluated with radiological investigations which showed the presence of a large left ischiorectal fossa mass. Histology confirmed this mass as an anal adenocarcinoma. Anal Adenocarcinoma is a rare condition that can arise from chronic inflammatory states. Treatment requires an abdomino-perineal resection with neoadjuvant therapy, and the goal of surgery is to achieve clear resection margins.
Literature
1.
Chan DK, Chong CS, Tan KK. Case report of an anal adenocarcinoma arising from a perineal lump. Ann Med Surg (Lond). 2016;6:23–5.CrossRef
2.
Papagikos M, Crane CH, Skibber J, Janjan NA, Feig B, Rodriguez-Bigas MA, Hung A, Wolff RA, Delclos M, Lin E, Cleary K. Chemoradiation for adenocarcinoma of the anus. Int J Radiat Oncol Biol Phys. 2003;55(3):669–78.CrossRefPubMed
3.
Pai VD, Jatal S, Engineer R, Ostwal V, Saklani AP. Multidisciplinary management of colorectal adenocarcinoma associated with anal fistula: an Indian series. Colorectal Dis. 2015;17(11):O240-6.CrossRefPubMed
Metadata
Title
Anal adenocarcinoma presenting as a non-healing ischiorectal wound
Authors
Dedrick Kok Hong Chan
Ker-Kan Tan
Publication date
01-03-2017
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 3/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-016-3238-4

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