title: Adenocarcinoma arising at the perineal wound after pull-through procedure for imperforate anus.
abstract: An extremely rare case is presented here, of an adenocarcinoma at the site of a long-standing perineal wound, the presence of which was a result of a pull-through procedure for imperforate anus. Wide local excision of a huge mass, including the perineal skin and the distal rectosigmoid segment, was carried out en-bloc on a 35 year old male. This tumor may have been caused by the repeated trauma and frequent ulceration around the perineal wound as a result of poor hygiene due to a fecal incontinence.
authors.affiliation: First Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Mukawa
authors.forename: Y
authors.initials: Y
authors.lastname: Kurabayashi
authors.forename: T
authors.initials: T
authors.lastname: Nakamura
authors.forename: G
authors.initials: G
authors.lastname: Nakano
authors.forename: Y
authors.initials: Y
authors.lastname: Nagamachi
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology; D000328:Adult; D001006:Anus, Imperforate / Q000601:surgery*; D003110:Colonic Neoplasms / Q000209:etiology / Q000473:pathology; D005242:Fecal Incontinence / Q000150:complications*; D006801:Humans; D008297:Male; D010502:Perineum / Q000293:injuries / Q000473:pathology; D011183:Postoperative Complications / Q000209:etiology*