International Journal of Colorectal Disease

, Volume 22, Issue 11, pp 1407–1408 | Cite as

Implantation of adenocarcinoma on hemorrhoidectomy wound

  • Tzu-Chi HsuEmail author
  • I-Lin Lu
Letter to the Editor

Local recurrence is annoying to the physician managing patients with rectal cancer. There are various ways with which recurrence can be effected after surgery. Although local recurrence on the wound after hemorrhoidectomy is not frequently seen, we encountered two patients with adenocarcinoma on the hemorrhoidectomy wound after hemorrhoidectomy.

A 55-year-old man underwent simultaneous hemorrhoidectomy and transrectal polypectomy in May 1993 by a local physician. The pathology of the polyp was reported as adenocarcinoma in situ. He presented to our clinic 2 years later chiefly complaining of rectal bleeding. A tumor located at the posterior scar of the previous hemorrhoidectomy was detected. Biopsy showed it was an adenocarcinoma. Carcinoembryonic antigen (CEA) was 2.21 ng/dl. Ultrasound of the abdomen revealed that there was no liver metastasis. Abdominoperineal resection was performed. Pathology revealed the carcinoma was poorly differentiated, with two lymph nodes showing...


Rectal Cancer Portal Hypertension Anterior Resection Rectal Bleeding Abdominoperineal Resection 
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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Division of Colon and Rectal Surgery, Department of SurgeryTaipei, Mackay Memorial HospitalTaipeiRepublic of China
  2. 2.Department of SurgeryTaipei Medical UniversityTaipeiRepublic of China
  3. 3.TaipeiRepublic of China

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