Implantation of adenocarcinoma on hemorrhoidectomy wound
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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...