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Squamous cell carcinoma of the anal canal following multiple hemorrhoidectomies

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Diseases of the Colon & Rectum

Summary and Conclusions

A case of squamous cell carcinoma of the anal canal which developed following multiple hemorrhoidectomies is presented. A review of the literature reveals the prevalence of previous anorectal operations before diagnosis of the condition was made. The indifference of the general population to anal lesions is an important contributory factor to the delay of diagnosis. Clinically, the lesion may mimic many common benign anorectal diseases. It is re-emphasized that all specimens removed from the anorectum should be submitted for microscopic examination, and wherever possible the surgeon should point out to the pathologist the area of suspicion. We believe that these tumors, regardless of their size, should be treated by radical surgery with extended lymphadenectomy.

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References

  1. Bacon, H. E.: Anus, Rectum, Sigmoid Colon: Diagnosis and Treatment. Ed. 3, Philadelphia, J. B. Lippincott Co., 1949, 1127 pp.

    Google Scholar 

  2. Bacon, H. E., R. Venturo and I. Sauer: Epidermoid carcinoma of the anal canal: Report of 28 cases. J. Mt. Sinai Hosp.17: 478, 1951.

    CAS  Google Scholar 

  3. Binkley, G. E.: Epidermoid carcinoma of the anus and rectum: A review of 125 cases. Am. J. Surg.79: 90, 1950.

    Article  PubMed  CAS  Google Scholar 

  4. Buie, L. A. and J. C. M. Brust: Malignant anal lesions of epithelial origin. J.-Lancet.53: 565, 1933.

    Google Scholar 

  5. Buxton, R. W.: Squamous cell anal carcinoma. A.M.A. Arch. Surg.67: 821, 1953.

    CAS  Google Scholar 

  6. Gabriel, W. B.: The Principles and Practice of Rectal Surgery. Ed. 3, Springfield, Ill., Charles C Thomas, 1945, 432 pp.

    Google Scholar 

  7. Grinnell, R. S.: An analysis of forty-nine cases of squamous cell carcinoma of the anus. Surg., Gynec. & Obst.98: 29, 1954.

    CAS  Google Scholar 

  8. Grinnell, R. S.: Squamous cell carcinoma of the anus. S. Clin. North America, October, 1955, p. 1289.

  9. Grinvalsky, H. T. and E. B. Helwig: Carcinoma of the anorectal junction. I. Histological considerations. Cancer.9: 480, 1956.

    Article  PubMed  CAS  Google Scholar 

  10. Hawe, Philip: Carcinoma a complication of piles. Brit. M. J.2: 349, 1927.

    Article  Google Scholar 

  11. Herrmann, Gustave: Sur la structure et le developpement de la muqueuse anale. J. anat. et physiol.16: 434, 1880.

    Google Scholar 

  12. Hosler, R. M. and J. A. Murphy: Two cases of malignant perineal tumor simulating inflammatory lesions. Surgery.4: 371, 1938.

    Google Scholar 

  13. Johnston, E. V., M. B. Dockerty and C. F. Dixon: Cylindroma of the rectum: Report of a case. Proc. Staff Meet., Mayo Clin.28: 729, 1953.

    CAS  Google Scholar 

  14. Judd, E. S., Jr. and B. E. DeTar: Squamous-cell carcinoma of the anus: Results of treatment. Surgery.37: 220, 1955.

    PubMed  Google Scholar 

  15. Kay, Saul: Mucoepidermoid carcinoma of the anal canal and its relation to the anal ducts. Cancer.7: 359, 1954.

    Article  PubMed  CAS  Google Scholar 

  16. Keyes, E. L.: Squamous cell carcinoma of the anus and rectum. S. Clin. North America, October 1944, p. 1151.

  17. LeBlanc, L. J., L. A. Buie and M. B. Dockerty: Squamous-cell epithelioma of the rectum. Ann. Surg.131: 392, 1950.

    Article  PubMed  CAS  Google Scholar 

  18. Lyons, A. S. and J. H. Garlock: Epidermoid carcinoma. Modern Medicine Annual, 1953, p. 155.

  19. McQuarrie, H. B. and L. A. Buie: Epithelioma of the anus. Postgrad. Med.7: 402, 1950.

    PubMed  CAS  Google Scholar 

  20. Mosley, R. S.: Squamous cell carcinoma of the anus: A case report. South. M. J.49: 1006, 1956.

    PubMed  CAS  Google Scholar 

  21. Skir, Isaac: Mucinous carcinoma associated with fistulas of long-standing. Am. J. Surg.75: 285, 1948.

    Article  PubMed  CAS  Google Scholar 

  22. Stearns, M. W., Jr.: Epidermoid carcinoma of the anal region: Inguinal metastases. Am. J. Surg.90: 727, 1955.

    Article  PubMed  Google Scholar 

  23. Sweet, R. H.: Results of treatment of epidermoid carcinoma of the anus and rectum. Surg., Gynec. & Obst.84: 967, 1947.

    Google Scholar 

  24. Tench, E. M.: Development of the anus in the human embryo. Am. J. Anat.59: 333, 1936.

    Article  Google Scholar 

  25. Tucker, C. C. and C. A. Hellwig: Anal ducts: Comparative and developmental histology. Arch. Surg.31: 521, 1935.

    Google Scholar 

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Read at the meeting of the Pennsylvania Proctologic Society, Philadelphia, Pennsylvania, October 7, 1959.

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Nuguid, T.P., Bacon, H.E. Squamous cell carcinoma of the anal canal following multiple hemorrhoidectomies. Dis Colon Rectum 3, 219–222 (1960). https://doi.org/10.1007/BF02616557

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  • DOI: https://doi.org/10.1007/BF02616557

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