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Perineal skin recurrence on the site of Lone Star Retractor: case report

BACKGROUND: Local recurrence of colorectal cancer is a major cause of morbidity and mortality that usually implies a worse prognosis. Its etiopathogenesis is still a subject of debate. Recurrence on the perineal wound caused by anal retractor device is rarely reported. CASE PRESENTATION: We present...

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Autores principales: Hamid, Mohamed, Majbar, Anass Mohamed, Hrora, Abdelmalek, Ahallat, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745204/
https://www.ncbi.nlm.nih.gov/pubmed/29282589
http://dx.doi.org/10.1186/s40792-017-0405-0
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author Hamid, Mohamed
Majbar, Anass Mohamed
Hrora, Abdelmalek
Ahallat, Mohamed
author_facet Hamid, Mohamed
Majbar, Anass Mohamed
Hrora, Abdelmalek
Ahallat, Mohamed
author_sort Hamid, Mohamed
collection PubMed
description BACKGROUND: Local recurrence of colorectal cancer is a major cause of morbidity and mortality that usually implies a worse prognosis. Its etiopathogenesis is still a subject of debate. Recurrence on the perineal wound caused by anal retractor device is rarely reported. CASE PRESENTATION: We present the case of a 75-year-old woman with perineal skin recurrence on the site of Lone Star Retractor™ from rectal adenocarcinoma. The patient underwent a curative proctectomy followed by a hand-sewn coloanal anastomosis using Lone Star Retractor™ 2 years ago for a tumor of the lower rectum. The recurrence was most likely caused by the seeding of exfoliated tumor cells into the perianal skin which was abraded by the retractor. CONCLUSION: This case is the fourth case reported in the literature and highlights the importance of the use of less traumatic endoanal retractors to prevent such perianal recurrence. Recurrence on the perineal wound caused by anal retractor device is rare but possible. Further studies are needed to define preventive measures able to reduce cutaneous implants.
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spelling pubmed-57452042018-01-19 Perineal skin recurrence on the site of Lone Star Retractor: case report Hamid, Mohamed Majbar, Anass Mohamed Hrora, Abdelmalek Ahallat, Mohamed Surg Case Rep Case Report BACKGROUND: Local recurrence of colorectal cancer is a major cause of morbidity and mortality that usually implies a worse prognosis. Its etiopathogenesis is still a subject of debate. Recurrence on the perineal wound caused by anal retractor device is rarely reported. CASE PRESENTATION: We present the case of a 75-year-old woman with perineal skin recurrence on the site of Lone Star Retractor™ from rectal adenocarcinoma. The patient underwent a curative proctectomy followed by a hand-sewn coloanal anastomosis using Lone Star Retractor™ 2 years ago for a tumor of the lower rectum. The recurrence was most likely caused by the seeding of exfoliated tumor cells into the perianal skin which was abraded by the retractor. CONCLUSION: This case is the fourth case reported in the literature and highlights the importance of the use of less traumatic endoanal retractors to prevent such perianal recurrence. Recurrence on the perineal wound caused by anal retractor device is rare but possible. Further studies are needed to define preventive measures able to reduce cutaneous implants. Springer Berlin Heidelberg 2017-12-28 /pmc/articles/PMC5745204/ /pubmed/29282589 http://dx.doi.org/10.1186/s40792-017-0405-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Hamid, Mohamed
Majbar, Anass Mohamed
Hrora, Abdelmalek
Ahallat, Mohamed
Perineal skin recurrence on the site of Lone Star Retractor: case report
title Perineal skin recurrence on the site of Lone Star Retractor: case report
title_full Perineal skin recurrence on the site of Lone Star Retractor: case report
title_fullStr Perineal skin recurrence on the site of Lone Star Retractor: case report
title_full_unstemmed Perineal skin recurrence on the site of Lone Star Retractor: case report
title_short Perineal skin recurrence on the site of Lone Star Retractor: case report
title_sort perineal skin recurrence on the site of lone star retractor: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745204/
https://www.ncbi.nlm.nih.gov/pubmed/29282589
http://dx.doi.org/10.1186/s40792-017-0405-0
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