Adenocarcinoma arising from a recurrent fistula-in-ano

Anal fistulas are frequent events which often recur after an inadequate surgical treatment. Nevertheless their evolution into malignant diseases is infrequently observed. The authors report one case of mucinous adenocarcinoma arising out of a recurrent, long-lasting fistula-in-ano. As reported, abdo...

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Bibliographic Details
Published inAnnali italiani di chirurgia Vol. 70; no. 5; p. 771
Main Authors Cirocchi, R, Covarelli, P, Gullà, N, Fabbri, B, Bisacci, R, Fabbri, C, Moggi, L
Format Journal Article
LanguageEnglish
Published Italy 01.09.1999
Subjects
Adenocarcinoma - etiology
Adenocarcinoma - surgery
Anus Neoplasms - etiology
Anus Neoplasms - surgery
Humans
Male
Middle Aged
Rectal Fistula - complications
Rectal Fistula - surgery
Recurrence
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Summary:Anal fistulas are frequent events which often recur after an inadequate surgical treatment. Nevertheless their evolution into malignant diseases is infrequently observed. The authors report one case of mucinous adenocarcinoma arising out of a recurrent, long-lasting fistula-in-ano. As reported, abdomino-perineal resection combined with radiotherapy can be the choice treatment. The difficulty is to obtain a reliable differential diagnosis. No imaging technique nor histologic examination can establish a definitive reliable diagnosis; nevertheless, as the risk of adenocarcinoma developing from a long-lasting recurrent fistula-in-ano, although small, is real, authors believe that operative exploration and biopsy of recurrent abscesses and fistulas should be recommended.
ISSN:0003-469X