A Case of Anal Canal Cancer which Developed Fournier's Syndrome after Chemoradiotherapy
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- Momma Tomoyuki
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Kikuchi Daiki
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Watanabe Yohei
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Onozawa Hisashi
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Suzuki Satoshi
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Nakamura Izumi
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Ohki Shinji
- Department of Organ Regulatory Surgery, Fukushima Medical University
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- Yoshida Noriyuki
- Department of Surgery, Ohara Medical Center
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- Takenoshita Seiichi
- Department of Organ Regulatory Surgery, Fukushima Medical University
Bibliographic Information
- Other Title
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- 化学放射線療法後にフルニエ症候群を発症した肛門管癌の1例
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Abstract
Fournier's syndrome is an acute necrotizing fasciitis of the perineum which progresses rapidly, resulting in poor prognosis if not treated appropriately at an early stage. Here we report a case of anal canal cancer which developed Fournier's syndrome after chemoradiotherapy (CRT). A 79-year-old man with anal canal cancer received a double-barrel sigmoid colostomy followed by concurrent CRT (50.4 Gy) with S-1 (100 mg/body). Although the patient was discharged after CRT, he developed a fever at 10 days after discharge and visited our hospital complaining of pain in the anal region. He was hospitalized with a diagnosis of Fournier's syndrome. Extensive drainage, administration of antibiotics, additional drainage and continuous irrigation of the affected region improved the symptoms of Fournier's syndrome. Multiple liver metastases were found on a CT scan at 3 months after onset of Fournier's syndrome, and the patient was transferred to another hospital for systemic chemotherapy. There have been no reports on the onset of Fournier's syndrome after CRT for rectal cancer with anal canal involvement; we report this case with a review of the literature.
Journal
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- Nippon Daicho Komonbyo Gakkai Zasshi
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Nippon Daicho Komonbyo Gakkai Zasshi 66 (5), 358-363, 2013
The Japan Society of Coloproctology
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Details 詳細情報について
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- CRID
- 1390001204856370816
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- NII Article ID
- 10031170186
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- NII Book ID
- AN00195100
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- ISSN
- 18829619
- 00471801
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed