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Adenocarcinoma of the Sigmoid Colon Seeding a Chronic Anal Fistula

Report of a Case

  • Case Report
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Diseases of the Colon & Rectum


Damaged mucosal sites seem to be vulnerable to tumor cell implantation. We describe a case of exfoliated tumor cells from a sigmoid colon cancer seeding a long-standing anal fistula. The implications of this finding are reviewed.

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  1. AG Gerster (1885) ArticleTitleOn surgical dissemination of cancer NY Med J 41 233–236

    Google Scholar 

  2. M Vink (1954) ArticleTitleLocal recurrence of cancer in the large bowel Br J Surg 41 431–433

    Google Scholar 

  3. G Hubens T Lafullarde E Van Marck P Vermeulen A Hubens (1994) ArticleTitleImplantation of colon cancer cells on intact and damaged colon mucosa and serosa Acta Chir Belg 94 258–262

    Google Scholar 

  4. HC Umpleby B Fermor MO Symes RC Williamson (1984) ArticleTitleViability of exfoliated colorectal cancer cells Br J Surg 71 659–663

    Google Scholar 

  5. EA McGrew JF Laws WH Cole (1954) ArticleTitleFree malignant cells in relation to recurrence of carcinoma of the colon JAMA 154 1251–1254

    Google Scholar 

  6. P Wind R Douard E Poupardin PH Cugnenc (1999) ArticleTitleAnal implantation of exfoliated tumor cells from a rectal adenocarcinoma after stapled anastomosis Eur J Surg 165 905–906

    Google Scholar 

  7. G Basha N Ectors F Penninckx L Filez K Geboes (1997) ArticleTitleTumor cell implantation after colonoscopy with biopsies in a patient with rectal cancer Dis Colon Rectum 40 1508–1510

    Google Scholar 

  8. HC Umpleby RC Williamson (1987) ArticleTitleAnastomotic recurrence in large bowel cancer Br J Surg 74 873–878

    Google Scholar 

  9. CR Uff CY Yiu PB Boulos RK Phillips (1993) ArticleTitleInfluence of suture physicochemical and surface topographic structure on tumor cell adherence Dis Colon Rectum 36 850–854

    Google Scholar 

  10. P Gertsch HU Baer R Kraft GJ Maddern HJ Altermatt (1992) ArticleTitleMalignant cells are collected on circular staplers Dis Colon Rectum 35 238–241

    Google Scholar 

  11. PD Rollinson SA Dundas (1984) ArticleTitleAdenocarcinoma of sigmoid colon seeding into pre-existing fistula in ano Br J Surg 71 664–665

    Google Scholar 

  12. SC Li BL Waters L Simmons-Arnold BG Beatty (2001) ArticleTitleCytokeratin 7 and 20 expressions in rectal adenomas, rectal adenocarcinomas, anal glands and functional rectal mucosa Mod Pathol 14 90–665

    Google Scholar 

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Hyman, N., Kida, M. Adenocarcinoma of the Sigmoid Colon Seeding a Chronic Anal Fistula. Dis Colon Rectum 46, 835–836 (2003).

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