[Perineal cutaneous metastases from adenocarcinoma after surgery for colorectal cancer].
The development of cutaneous metastases in the context of colorectal cancer is exceptional, especially in the absence of visceral lesions. We present the case of a 50-year-old woman who underwent surgery for a T3N0M0 tumor in the sigmoid colon, with resection of ovarian metastases at 12 months. Reoperation was performed 14 months later for local anastomotic recurrence. Four months after surgery, a nodular ulcerated lesion was observed in the perineum due to metastases from adenocarcinoma. Aggressive local surgery was performed and the patient has presented no recurrences after a 5-year follow-up. We discuss the need for correct management of the rectal or anal stump (through the use of iodine povidone wash solution) during instrumental anastomoses.
Placer
Carlos
C
Sección de Cirugía Colorrectal, Departamento de Cirugía, Hospital Donostia, San Sebastián, Guipúzcoa, Spain. 943313762@terra.es
Elósegui
José Luis
JL
Irureta
Idoia
I
Mujika
José Andrés
JA
Goena
Ignacio
I
Enríquez Navascués
José M
JM
D000230:Adenocarcinoma / Q000556:secondary*; D015179:Colorectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016609:Neoplasms, Second Primary; D010502:Perineum; D012878:Skin Neoplasms / Q000556:secondary*