Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity

<p>Abstract</p> <p>Background</p> <p>As in ulcerative colitis, there is an increased incidence of colorectal carcinoma in Crohn's disease. While carcinoma formation originating from ano-rectal fistulas is generally considered as a rare event there are different pub...

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Main Authors: Gladisch Rainer, Dinter Dietmar, Back Walter, Keese Michael, Joos Andreas, Palma Pablo
Format: Article
Language:English
Published: BMC 2005-06-01
Series:World Journal of Surgical Oncology
Online Access:http://www.wjso.com/content/3/1/42
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author Gladisch Rainer
Dinter Dietmar
Back Walter
Keese Michael
Joos Andreas
Palma Pablo
author_facet Gladisch Rainer
Dinter Dietmar
Back Walter
Keese Michael
Joos Andreas
Palma Pablo
author_sort Gladisch Rainer
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>As in ulcerative colitis, there is an increased incidence of colorectal carcinoma in Crohn's disease. While carcinoma formation originating from ano-rectal fistulas is generally considered as a rare event there are different publications reporting on mucinous adenocarcinoma formation in association with a neovagina and rectovaginal fistulas. To the best of our knowledge this is the first description of a perianal mucinous adenocarcinoma arising in a patient after Crohn's disease proctocolectomy.</p> <p>Case presentation</p> <p>We report the case of a 50-year old female with a mucinous adenocarcinoma forming in the perineum eleven years after proctocolectomy for Crohn's disease. The patient was readmitted with perineal pain, leucocytosis and a perineal mass highly suspicious of abscess formation in the MRI-Scan. Histological examination revealed a mucinous adenocarcinoma. Exenteration including vagina, uterus and ovaries together with the coccygeal-bone was performed.</p> <p>Conclusion</p> <p>Mucinous adenocarcinoma formation is a rare complication of Crohn's disease and so far unreported after proctocolectomy.</p>
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spelling doaj.art-4f9ff68de08c4f1b9d1cdd8fad8449422022-12-22T01:09:10ZengBMCWorld Journal of Surgical Oncology1477-78192005-06-01314210.1186/1477-7819-3-42Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarityGladisch RainerDinter DietmarBack WalterKeese MichaelJoos AndreasPalma Pablo<p>Abstract</p> <p>Background</p> <p>As in ulcerative colitis, there is an increased incidence of colorectal carcinoma in Crohn's disease. While carcinoma formation originating from ano-rectal fistulas is generally considered as a rare event there are different publications reporting on mucinous adenocarcinoma formation in association with a neovagina and rectovaginal fistulas. To the best of our knowledge this is the first description of a perianal mucinous adenocarcinoma arising in a patient after Crohn's disease proctocolectomy.</p> <p>Case presentation</p> <p>We report the case of a 50-year old female with a mucinous adenocarcinoma forming in the perineum eleven years after proctocolectomy for Crohn's disease. The patient was readmitted with perineal pain, leucocytosis and a perineal mass highly suspicious of abscess formation in the MRI-Scan. Histological examination revealed a mucinous adenocarcinoma. Exenteration including vagina, uterus and ovaries together with the coccygeal-bone was performed.</p> <p>Conclusion</p> <p>Mucinous adenocarcinoma formation is a rare complication of Crohn's disease and so far unreported after proctocolectomy.</p>http://www.wjso.com/content/3/1/42
spellingShingle Gladisch Rainer
Dinter Dietmar
Back Walter
Keese Michael
Joos Andreas
Palma Pablo
Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity
World Journal of Surgical Oncology
title Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity
title_full Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity
title_fullStr Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity
title_full_unstemmed Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity
title_short Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity
title_sort case report late perianal mucinous adenocarcinoma after crohn s disease proctectomy an oncological rarity
url http://www.wjso.com/content/3/1/42
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