Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread

A 61-year-old woman was referred to surgery for incidentally found colonic polyps during a health examination. Physical examination revealed widespread eczematous skin lesion without pruritus in the perianal and vulvar area. Abdominopelvic computed tomography showed an approximately 4-cm-sized, soft...

Full description

Bibliographic Details
Main Authors: Na Rae Kim, Hyun Yee Cho, Jeong-Heum Baek, Juhyeon Jeong, Seung Yeon Ha, Jae Yeon Seok, Sung Won Park, Sun Jin Sym, Kyu Chan Lee, Dong Hae Chung
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2016-05-01
Series:Journal of Pathology and Translational Medicine
Subjects:
Online Access:http://www.jpatholtm.org/upload/pdf/jptm-2015-08-08.pdf
_version_ 1818997158489096192
author Na Rae Kim
Hyun Yee Cho
Jeong-Heum Baek
Juhyeon Jeong
Seung Yeon Ha
Jae Yeon Seok
Sung Won Park
Sun Jin Sym
Kyu Chan Lee
Dong Hae Chung
author_facet Na Rae Kim
Hyun Yee Cho
Jeong-Heum Baek
Juhyeon Jeong
Seung Yeon Ha
Jae Yeon Seok
Sung Won Park
Sun Jin Sym
Kyu Chan Lee
Dong Hae Chung
author_sort Na Rae Kim
collection DOAJ
description A 61-year-old woman was referred to surgery for incidentally found colonic polyps during a health examination. Physical examination revealed widespread eczematous skin lesion without pruritus in the perianal and vulvar area. Abdominopelvic computed tomography showed an approximately 4-cm-sized, soft tissue lesion in the right perianal area. Inguinal lymph node dissection and Mils’ operation extended to perianal and perivulvar skin was performed. Histologically, the anal canal lesion was composed of mucin-containing signet ring cells, which were similar to those found in Pagetoid skin lesions. It was diagnosed as an anal canal signet ring cell carcinoma (SRCC) with perianal and vulvar Pagetoid spread and bilateral inguinal lymph node metastasis. Anal canal SRCC is rare, and the current case is the third reported case in the English literature. Seven additional cases were retrieved from the world literature. Here, we describe this rare case of anal canal SRCC with perianal Pagetoid spread and provide a literature review.
first_indexed 2024-12-20T21:41:11Z
format Article
id doaj.art-32b7f962db6c4b578a1d273e6a8d4386
institution Directory Open Access Journal
issn 2383-7837
2383-7845
language English
last_indexed 2024-12-20T21:41:11Z
publishDate 2016-05-01
publisher Korean Society of Pathologists & the Korean Society for Cytopathology
record_format Article
series Journal of Pathology and Translational Medicine
spelling doaj.art-32b7f962db6c4b578a1d273e6a8d43862022-12-21T19:25:47ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452016-05-0150323123710.4132/jptm.2015.08.0816555Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid SpreadNa Rae KimHyun Yee ChoJeong-Heum Baek0Juhyeon JeongSeung Yeon HaJae Yeon SeokSung Won Park1Sun Jin Sym2Kyu Chan Lee3Dong Hae Chung Department of General Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of General Surgery, Gachon University Gil Medical Center, Incheon, Korea Division of Hematology and Oncology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Radiation Oncology, Gachon University Gil Medical Center, Incheon, KoreaA 61-year-old woman was referred to surgery for incidentally found colonic polyps during a health examination. Physical examination revealed widespread eczematous skin lesion without pruritus in the perianal and vulvar area. Abdominopelvic computed tomography showed an approximately 4-cm-sized, soft tissue lesion in the right perianal area. Inguinal lymph node dissection and Mils’ operation extended to perianal and perivulvar skin was performed. Histologically, the anal canal lesion was composed of mucin-containing signet ring cells, which were similar to those found in Pagetoid skin lesions. It was diagnosed as an anal canal signet ring cell carcinoma (SRCC) with perianal and vulvar Pagetoid spread and bilateral inguinal lymph node metastasis. Anal canal SRCC is rare, and the current case is the third reported case in the English literature. Seven additional cases were retrieved from the world literature. Here, we describe this rare case of anal canal SRCC with perianal Pagetoid spread and provide a literature review.http://www.jpatholtm.org/upload/pdf/jptm-2015-08-08.pdfCarcinoma, signet ring cellAnal canalPaget disease, extramammary
spellingShingle Na Rae Kim
Hyun Yee Cho
Jeong-Heum Baek
Juhyeon Jeong
Seung Yeon Ha
Jae Yeon Seok
Sung Won Park
Sun Jin Sym
Kyu Chan Lee
Dong Hae Chung
Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
Journal of Pathology and Translational Medicine
Carcinoma, signet ring cell
Anal canal
Paget disease, extramammary
title Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
title_full Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
title_fullStr Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
title_full_unstemmed Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
title_short Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread
title_sort rare case of anal canal signet ring cell carcinoma associated with perianal and vulvar pagetoid spread
topic Carcinoma, signet ring cell
Anal canal
Paget disease, extramammary
url http://www.jpatholtm.org/upload/pdf/jptm-2015-08-08.pdf
work_keys_str_mv AT naraekim rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT hyunyeecho rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT jeongheumbaek rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT juhyeonjeong rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT seungyeonha rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT jaeyeonseok rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT sungwonpark rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT sunjinsym rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT kyuchanlee rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread
AT donghaechung rarecaseofanalcanalsignetringcellcarcinomaassociatedwithperianalandvulvarpagetoidspread