A CASE OF METASTATIC CARCINOMA IN AN ANAL FISTULA CAUSED BY IMPLANTATION FROM SIGMOID COLON CANCER

• MURATA Toshihiro

  Department of Surgery, National Hospital Organization Iwakuni Clinical Center

• ARATA Takashi

  Department of Surgery, National Hospital Organization Iwakuni Clinical Center

• NAKAGAWA Hitoshi

  Department of Surgery, National Hospital Organization Iwakuni Clinical Center

• TANAKAYA Koji

  Department of Surgery, National Hospital Organization Iwakuni Clinical Center

• KANAGAWA Taiichiro

  Department of Surgery, National Hospital Organization Iwakuni Clinical Center

• TAKEUCHI Hitoshi

  Department of Surgery, National Hospital Organization Iwakuni Clinical Center

Bibliographic Information

Other Title

• 痔瘻内に播種再発をきたしたＳ状結腸癌の１例

Abstract

The patient was a 61-year-old man who had undergone sigmoidectomy, partial hepatectomy and cholecystectomy for sigmoid colon cancer with liver metastasis and cholelithiasis at the age of 60. Five months after the surgery, he was admitted to another hospital because of a ten-years history of recurrent anal pain. He was performed incision and drainage with a diagnosis of a perianal abscess. Pathological study of pus discharged from the abscess showed adenocarcinoma, and so he was referred to our hospital. At the left side of the anus, we found a tumor 5cm in diameter which was flare and swelling with an irregular skin ulcer. We diagnosed the case as metastatic carcinoma in an anal fistula caused by implantation from sigmoid colon cancer, and conducted abdominoperineal resection including the flare part of circumanal skin. The defect of skin in the anal region was repaired using a gluteus maximus muscle. The perianal tumor showed the same histological appearance as the sigmoid colon cancer. We concluded that free tumor cells from the sigmoid colon cancer might have been implanted in the anal fistula. Since metastasis of sigmoid colon cancer to an anal fistula is relatively rare, we report this case with some bibliographical comments.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (9), 2127-2131, 2006

  Japan Surgical Association

Keywords

• Implantation

Details

• CRID: 1390282679826430080
• NII Article ID: 130003605203
• NII Article ID: 10018391918
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.2127
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/9/67_9_2127/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007060276
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed