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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...

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Autores principales: Eliachevsky, Christina, Templeton, Erin, Nanda, Atul K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
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.
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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
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AT templetonerin perianalsquamouscellcarcinomaacasereport
AT nandaatulk perianalsquamouscellcarcinomaacasereport