title: Perineal scar endometriosis ten years after Miles' procedure for rectal cancer: Case report and review of the literature.
abstract: Endometriosis within a perineal scar after a Miles' procedure has not been previously reported in literature. We report a case of a 35-year-old-female who was treated 10 years before at the same institution for a low rectal cancer that presents with two discrete subcutaneous bulges within her perineal wound. Since the patient was asymptomatic and the complete work up for recurrent disease showed no evidence of malignancy, first line therapy was conservative. After two pregnancies and a caesarean section, the patient presented at our observation with enlarged and tender perineal nodules. The patient was treated with a wide excision of the perineal scar en-bloc with the nodules. Final pathology report was consistent with scar endometriosis.
authors.affiliation: Surgical Oncology Unit, Department of Oncology, Garibaldi-Nesima Hospital, Via Palermo 636, 95122 Catania, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Cinardi
authors.forename: Salvatore
authors.initials: S
authors.lastname: Franco
authors.forename: Danilo
authors.initials: D
authors.lastname: Centonze
authors.forename: Giorgio
authors.initials: G
authors.lastname: Giannone
references.citation: J Am Coll Surg. 2000 Apr;190(4):404-7
references.pmid: 10757377
references.citation: J Dermatol Surg Oncol. 1994 Oct;20(10):693-5
references.pmid: 7930017
references.citation: Am Surg. 1996 Dec;62(12):1042-4
references.pmid: 8955245
references.citation: Int Surg. 2002 Jul-Sep;87(3):175-7
references.pmid: 12403094
references.citation: Ann Plast Surg. 1998 Jun;40(6):672-5
references.pmid: 9641291
references.citation: Am J Surg. 2003 Jun;185(6):596-8
references.pmid: 12781893
references.citation: Langenbecks Arch Surg. 2007 Jan;392(1):105-9
references.pmid: 17043902
references.citation: Clin Obstet Gynecol. 1999 Sep;42(3):699-711
references.pmid: 10451779
references.citation: Br J Surg. 1995 Oct;82(10):1349-51
references.pmid: 7489161
references.citation: Minerva Chir. 2005 Feb;60(1):67-9
references.pmid: 15902056
references.citation: Obstet Gynecol. 2004 Nov;104(5 Pt 2):1149-51
references.pmid: 15516432
references.citation: Obstet Gynecol. 1954 Nov;4(5):502-10
references.pmid: 13214655
references.citation: J Obstet Gynaecol. 2004 Oct;24(7):804-8
references.pmid: 15763794
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):646-9
references.pmid: 16231117
references.citation: Int J Gynaecol Obstet. 2005 Sep;90(3):218-22
references.pmid: 16040035
references.citation: J Comput Assist Tomogr. 1994 Mar-Apr;18(2):269-71
references.pmid: 8126280
references.citation: Aust N Z J Obstet Gynaecol. 2002 May;42(2):218-20
references.pmid: 12069156
references.citation: Int J Gynecol Cancer. 2007 May-Jun;17(3):709-14
references.pmid: 17300680
references.citation: Aesthetic Plast Surg. 2006 Mar-Apr;30(2):249-50
references.pmid: 16547624
references.citation: Surg Endosc. 1998 Jul;12(7):992-4
references.pmid: 9632877
references.citation: Cytopathology. 2005 Apr;16(2):94-9
references.pmid: 15787652
references.citation: Am Surg. 1999 Jan;65(1):36-9
references.pmid: 9915529
references.citation: Aust N Z J Obstet Gynaecol. 2003 Apr;43(2):164-5
references.pmid: 14712976
references.citation: Surg Gynecol Obstet. 1993 Sep;177(3):243-6
references.pmid: 8356497
references.citation: Dig Surg. 2003;20(3):246-8
references.pmid: 12759505
references.citation: Am Surg. 1995 Nov;61(11):962-3
references.pmid: 7486427
references.citation: Fertil Steril. 2010 Mar 1;93(4):1347.e17-8
references.pmid: 20079892
references.citation: J Obstet Gynaecol Res. 2005 Oct;31(5):471-5
references.pmid: 16176520