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Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas

Scrotales fistulas are rare and often represent secondary lesions of tuberculosis. Mucinous adenocarcinomas are tumors containing at least 50% of extracellular mucus. They occur most commonly in the rectosigmoid; scrotal location is rare. We report the case of a 54-year old patient, with no particul...

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Autores principales: El Alaoui, Abdelilah, El Boté, Hicham, Ziouani, Oussama, Dembele, Oussman, El Sayegh, Hachem, Iken, Ali, Benslimane, Lounis, Nouini, Yassine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483345/
https://www.ncbi.nlm.nih.gov/pubmed/28674583
http://dx.doi.org/10.11604/pamj.2017.26.190.9515
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author El Alaoui, Abdelilah
El Boté, Hicham
Ziouani, Oussama
Dembele, Oussman
El Sayegh, Hachem
Iken, Ali
Benslimane, Lounis
Nouini, Yassine
author_facet El Alaoui, Abdelilah
El Boté, Hicham
Ziouani, Oussama
Dembele, Oussman
El Sayegh, Hachem
Iken, Ali
Benslimane, Lounis
Nouini, Yassine
author_sort El Alaoui, Abdelilah
collection PubMed
description Scrotales fistulas are rare and often represent secondary lesions of tuberculosis. Mucinous adenocarcinomas are tumors containing at least 50% of extracellular mucus. They occur most commonly in the rectosigmoid; scrotal location is rare. We report the case of a 54-year old patient, with no particular past medical history, with secondary mucinous adenocarcinoma of the scrotum revealed by scrotal fistulas. The patient had suffered from recurrent scrotal fistulas for two years, with no other associated signs. Clinical examination showed multiple scrotal fistulas with discharge of thick pus. Rectal examination was normal. Urological examinations (IVU, UCRM, cystoscopy, …) were normal, the assessment of infectious diseases as well as the detection of BK virus in urine and sputum were negative. Biopsy of sample of scrotal tissue was in favor of moderately differentiated mucinous adenocarcinoma. Immunohistochemical examination was in favor of primary colorectal cancer. Patient’s evolution was marked by the occurrence of complex anal fistulas, which appeared on MRI as active, supplying several pelvic peritoneal collections resulting in fleshy buds. There is no consensus on the therapeutic approach due to the rarity of this cancer. Surgical resection is the treatment of choice for this disease. Preoperative chemotherapy and radiation therapy are recommended for this type of cancer, but their role is not well established. The patient underwent primary neoadjuvant chemotherapy and radiation therapy, before abdominoperineal excision.
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spelling pubmed-54833452017-07-03 Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas El Alaoui, Abdelilah El Boté, Hicham Ziouani, Oussama Dembele, Oussman El Sayegh, Hachem Iken, Ali Benslimane, Lounis Nouini, Yassine Pan Afr Med J Case Report Scrotales fistulas are rare and often represent secondary lesions of tuberculosis. Mucinous adenocarcinomas are tumors containing at least 50% of extracellular mucus. They occur most commonly in the rectosigmoid; scrotal location is rare. We report the case of a 54-year old patient, with no particular past medical history, with secondary mucinous adenocarcinoma of the scrotum revealed by scrotal fistulas. The patient had suffered from recurrent scrotal fistulas for two years, with no other associated signs. Clinical examination showed multiple scrotal fistulas with discharge of thick pus. Rectal examination was normal. Urological examinations (IVU, UCRM, cystoscopy, …) were normal, the assessment of infectious diseases as well as the detection of BK virus in urine and sputum were negative. Biopsy of sample of scrotal tissue was in favor of moderately differentiated mucinous adenocarcinoma. Immunohistochemical examination was in favor of primary colorectal cancer. Patient’s evolution was marked by the occurrence of complex anal fistulas, which appeared on MRI as active, supplying several pelvic peritoneal collections resulting in fleshy buds. There is no consensus on the therapeutic approach due to the rarity of this cancer. Surgical resection is the treatment of choice for this disease. Preoperative chemotherapy and radiation therapy are recommended for this type of cancer, but their role is not well established. The patient underwent primary neoadjuvant chemotherapy and radiation therapy, before abdominoperineal excision. The African Field Epidemiology Network 2017-03-30 /pmc/articles/PMC5483345/ /pubmed/28674583 http://dx.doi.org/10.11604/pamj.2017.26.190.9515 Text en © Abdelilah El Alaoui et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
El Alaoui, Abdelilah
El Boté, Hicham
Ziouani, Oussama
Dembele, Oussman
El Sayegh, Hachem
Iken, Ali
Benslimane, Lounis
Nouini, Yassine
Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
title Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
title_full Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
title_fullStr Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
title_full_unstemmed Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
title_short Fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
title_sort fistules scrotales révélant un adénocarcinome mucineux du scrotum: à propos d’un cas
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483345/
https://www.ncbi.nlm.nih.gov/pubmed/28674583
http://dx.doi.org/10.11604/pamj.2017.26.190.9515
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