Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula

Perianal mucinous adenocarcinoma (PMA) is an oncologic rarity that poses a diagnostic and therapeutic dilemma for treating clinicians because there are few reported cases and an absence of definitive guidelines. We report a patient who had been treated with local surgery for recurrent perianal absce...

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Main Authors: Shir, Li Jee, Amin-Tai, Hizami, Nik Hisyamuddin Fathi, Nik Qisti Fathi, Jabar, Mohd Faisal
Format: Article
Language:English
Published: American College of Gastroenterology 2018
Online Access:http://psasir.upm.edu.my/id/eprint/73472/1/Perianal%20mucinous%20adenocarcinoma%20diagnosed%20by%20histological%20study%20of%20anorectal%20abscess%20with%20fistula.pdf
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author Shir, Li Jee
Amin-Tai, Hizami
Nik Hisyamuddin Fathi, Nik Qisti Fathi
Jabar, Mohd Faisal
author_facet Shir, Li Jee
Amin-Tai, Hizami
Nik Hisyamuddin Fathi, Nik Qisti Fathi
Jabar, Mohd Faisal
author_sort Shir, Li Jee
collection UPM
description Perianal mucinous adenocarcinoma (PMA) is an oncologic rarity that poses a diagnostic and therapeutic dilemma for treating clinicians because there are few reported cases and an absence of definitive guidelines. We report a patient who had been treated with local surgery for recurrent perianal abscess with fistula for 3 years. Biopsy of the indurated tissue overlying his surgical scars revealed PMA. Neoadjuvant concurrent chemoradiotherapy followed by abdominoperineal resection was planned to address the locally advanced disease and ongoing sepsis. Our case is unique in that the fistula preceded carcinoma by only 3 years instead of the typical 10 years.
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spelling upm.eprints-734722020-06-08T00:49:29Z http://psasir.upm.edu.my/id/eprint/73472/ Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula Shir, Li Jee Amin-Tai, Hizami Nik Hisyamuddin Fathi, Nik Qisti Fathi Jabar, Mohd Faisal Perianal mucinous adenocarcinoma (PMA) is an oncologic rarity that poses a diagnostic and therapeutic dilemma for treating clinicians because there are few reported cases and an absence of definitive guidelines. We report a patient who had been treated with local surgery for recurrent perianal abscess with fistula for 3 years. Biopsy of the indurated tissue overlying his surgical scars revealed PMA. Neoadjuvant concurrent chemoradiotherapy followed by abdominoperineal resection was planned to address the locally advanced disease and ongoing sepsis. Our case is unique in that the fistula preceded carcinoma by only 3 years instead of the typical 10 years. American College of Gastroenterology 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/73472/1/Perianal%20mucinous%20adenocarcinoma%20diagnosed%20by%20histological%20study%20of%20anorectal%20abscess%20with%20fistula.pdf Shir, Li Jee and Amin-Tai, Hizami and Nik Hisyamuddin Fathi, Nik Qisti Fathi and Jabar, Mohd Faisal (2018) Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula. ACG Case Reports Journal, 5 (e21). pp. 1-3. ISSN ESSN: 2326-3253 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852302/ 10.14309/crj.2018.21
spellingShingle Shir, Li Jee
Amin-Tai, Hizami
Nik Hisyamuddin Fathi, Nik Qisti Fathi
Jabar, Mohd Faisal
Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
title Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
title_full Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
title_fullStr Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
title_full_unstemmed Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
title_short Perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
title_sort perianal mucinous adenocarcinoma diagnosed by histological study of anorectal abscess with fistula
url http://psasir.upm.edu.my/id/eprint/73472/1/Perianal%20mucinous%20adenocarcinoma%20diagnosed%20by%20histological%20study%20of%20anorectal%20abscess%20with%20fistula.pdf
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AT amintaihizami perianalmucinousadenocarcinomadiagnosedbyhistologicalstudyofanorectalabscesswithfistula
AT nikhisyamuddinfathinikqistifathi perianalmucinousadenocarcinomadiagnosedbyhistologicalstudyofanorectalabscesswithfistula
AT jabarmohdfaisal perianalmucinousadenocarcinomadiagnosedbyhistologicalstudyofanorectalabscesswithfistula