Anal transitional zone adenocarcinoma following restorative proctocolectomy for ulcerative colitis: case report and review of literature.
Conservative proctocolectomy with ileal pouch-anal anastomosis (IPAA) has become the intervention of choice for severe ulcerative colitis (UC) requiring surgery. Sporadically, the occurrence of carcinoma arising in or near the ileo-anal pouch after IPAA for UC has been reported. This issue is of utmost importance as an endoscopic follow-up is mandatory also after the operation. The present paper reports a case of cancer which developed four years after proctocolectomy with IPAA in a young man suffering from UC. Moreover, the authors provide update (PubMed research) by literature review on this issue.
Panier-Suffat
L
L
7th Department of Surgery, S Giovanni Battista (Molinette) Hospital, Turin, Italy.
Marracino
M
M
Resegotti
A
A
Astegiano
M
M
Giustetto
A
A
Garino
M
M
Pellicano
R
R
Fronda
G
G
D000230:Adenocarcinoma / Q000209:etiology*; D000328:Adult; D001005:Anus Neoplasms / Q000209:etiology*; D003093:Colitis, Ulcerative / Q000150:complications* / Q000601:surgery*; D039021:Colonic Pouches / Q000473:pathology*; D006801:Humans; D008297:Male; D016737:Proctocolectomy, Restorative / Q000379:methods; D017792:Surgical Stapling