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Perianal squamous cell carcinoma: A case report
INTRODUCTION AND IMPORTANCE: Perianal carcinomas, though rare, are usually squamous cell carcinoma. Current literature recommends surgical excision for tumors staged T1-T2, N0 without external anal sphincter involvement, however our case demonstrated that tumors with superficial involvement of exter...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010385/ https://www.ncbi.nlm.nih.gov/pubmed/33743249 http://dx.doi.org/10.1016/j.ijscr.2021.105739 |
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author | Eliachevsky, Christina Templeton, Erin Nanda, Atul K. |
author_facet | Eliachevsky, Christina Templeton, Erin Nanda, Atul K. |
author_sort | Eliachevsky, Christina |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Perianal carcinomas, though rare, are usually squamous cell carcinoma. Current literature recommends surgical excision for tumors staged T1-T2, N0 without external anal sphincter involvement, however our case demonstrated that tumors with superficial involvement of external sphincter fibers can be resected completely. CASE PRESENTATION: A 45-year-old Caucasian male presented with a perianal mass found to be squamous cell carcinoma. Initial imaging suggested the anal sphincter was spared, however intraoperatively tumor cells were found involving superficial external sphincter fibers and a portion was excised to ensure complete removal. CLINICAL DISCUSSION: Perianal squamous malignancies are often misdiagnosed as more benign conditions. Treatment aims to preserve sphincter function and depends on tumor stage along with anatomical involvement. CONCLUSION: Despite superficial muscle infiltration, the T2N0 perianal lesion was curable with surgical resection alone without recurrence or functional deficits reported one year later. This suggests surgical management may be possible in some cases with sphincter involvement. |
format | Online Article Text |
id | pubmed-8010385 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-80103852021-04-02 Perianal squamous cell carcinoma: A case report Eliachevsky, Christina Templeton, Erin Nanda, Atul K. Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Perianal carcinomas, though rare, are usually squamous cell carcinoma. Current literature recommends surgical excision for tumors staged T1-T2, N0 without external anal sphincter involvement, however our case demonstrated that tumors with superficial involvement of external sphincter fibers can be resected completely. CASE PRESENTATION: A 45-year-old Caucasian male presented with a perianal mass found to be squamous cell carcinoma. Initial imaging suggested the anal sphincter was spared, however intraoperatively tumor cells were found involving superficial external sphincter fibers and a portion was excised to ensure complete removal. CLINICAL DISCUSSION: Perianal squamous malignancies are often misdiagnosed as more benign conditions. Treatment aims to preserve sphincter function and depends on tumor stage along with anatomical involvement. CONCLUSION: Despite superficial muscle infiltration, the T2N0 perianal lesion was curable with surgical resection alone without recurrence or functional deficits reported one year later. This suggests surgical management may be possible in some cases with sphincter involvement. Elsevier 2021-03-11 /pmc/articles/PMC8010385/ /pubmed/33743249 http://dx.doi.org/10.1016/j.ijscr.2021.105739 Text en © 2021 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Eliachevsky, Christina Templeton, Erin Nanda, Atul K. Perianal squamous cell carcinoma: A case report |
title | Perianal squamous cell carcinoma: A case report |
title_full | Perianal squamous cell carcinoma: A case report |
title_fullStr | Perianal squamous cell carcinoma: A case report |
title_full_unstemmed | Perianal squamous cell carcinoma: A case report |
title_short | Perianal squamous cell carcinoma: A case report |
title_sort | perianal squamous cell carcinoma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010385/ https://www.ncbi.nlm.nih.gov/pubmed/33743249 http://dx.doi.org/10.1016/j.ijscr.2021.105739 |
work_keys_str_mv | AT eliachevskychristina perianalsquamouscellcarcinomaacasereport AT templetonerin perianalsquamouscellcarcinomaacasereport AT nandaatulk perianalsquamouscellcarcinomaacasereport |