title: [A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene].
abstract: A 71-year-old woman diagnosed with Fournier's gangrene caused by penetration of a rectal carcinoma was referred to our hospital. Emergency drainage and sigmoid colostomy were performed. Pathological examination of a biopsy sample showed moderately differentiated tubular adenocarcinoma. Abdominoperineal resection with bilateral salpingo-oophorectomy and hysterectomy was performed with curative intent after 4 courses of chemotherapy with S-1 and oxaliplatin. The postoperative pathological diagnosis was StageⅡ (pT4bN0M0). The patient received tegafur/uracil and Leucovorin as adjuvant chemotherapy. Seven months after the curative operation, partial pneumonectomy was performed for the recurrence of the rectal carcinoma in the right lung. Eight months after pneumonectomy, recurrent tumors were observed in the right lung and subcutaneous fat layer of the right buttock along the drainage site. The tumor in the right buttock was excised along with part of the gluteus maximus, and partial pneumonectomy was then performed. Three years and 6 months after the emergency drainage, the patient is alive with no evidence of recurrence. After drainage for rectal carcinoma complicated by Fournier's gangrene, the possibility of recurrence around the drainage site should be considered.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Abe
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kameyama
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Shimada
authors.forename: Saki
authors.initials: S
authors.lastname: Yamada
authors.forename: Daiki
authors.initials: D
authors.lastname: Soma
authors.forename: Ryoma
authors.initials: R
authors.lastname: Yagi
authors.forename: Kohei
authors.initials: K
authors.lastname: Miura
authors.forename: Kumiko
authors.initials: K
authors.lastname: Tatsuda
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Tajima
authors.forename: Takuma
authors.initials: T
authors.lastname: Okamura
authors.forename: Mae
authors.initials: M
authors.lastname: Nakano
authors.forename: Masato
authors.initials: M
authors.lastname: Nakano
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Wakai
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D004322:Drainage; D005260:Female; D018934:Fournier Gangrene / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D011013:Pneumonectomy; D011379:Prognosis; D012004:Rectal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery