Adenocarcinoma arising at the perineal wound after pull-through procedure for imperforate anus.
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.
Mukawa
K
K
First Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.
Kurabayashi
Y
Y
Nakamura
T
T
Nakano
G
G
Nagamachi
Y
Y
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*