Colosigmoid adenocarcinoma anastomotic recurrence seeding into a transsphincteric fistula-in-ano: a clinical report and literature review.
We describe the case of a left colon adenocarcinoma anastomotic recurrence that metastasized to a benign transsphincteric fistula-in-ano, presumably through the implantation of viable malignant cells shed from the secondary tumor, and discuss the implications of these findings in colorectal cancer surgery.
Gravante
Gianpiero
G
General Surgery Department, University of Rome Tor Vergata, Rome, Italy. ggravante@hotmail.com
Delogu
Daniela
D
Venditti
Dario
D
D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D003082:Colectomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D009366:Neoplasm Seeding; D012003:Rectal Fistula / Q000209:etiology / Q000473:pathology*; D012004:Rectal Neoplasms / Q000556:secondary*; D012811:Sigmoid Neoplasms / Q000473:pathology* / Q000601:surgery