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Perineal Adenocarcinoma Thirty Years After Proctocolectomy: Report of a Case

  • Case Reports
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Diseases of the Colon & Rectum

Abstract

This report describes an adenocarcinoma arising in the perineum 30 years after two-stage total proctocolectomy for ulcerative colitis. This is one of the longest intervals reported between resection and presentation with cancer and also the only case in which the tumor is clearly free of association with existing bowel. The mass originally presented as a perineal mucocele, an unusual complication of proctocolectomy for ulcerative colitis, and this is the first such mucocele to demonstrate malignant transformation.

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References

  1. Lee SW, Sonoda T, Milsom JW. Three cases of adenocarcinoma following restorative proctocolectomy with handsewn anastomosis for ulcerative colitis: a review of reported cases in the literature. Colorectal Dis 2005;7:591–7.

    Article  PubMed  CAS  Google Scholar 

  2. Knupper N, Straub E, Terpe HJ, Vestweber KH. Adenocarcinoma of the ileoanal pouch for ulcerative colitis-a complication of severe chronic atrophic pouchitis? Int J Colorectal Dis 2006;21:478–82.

    Article  PubMed  CAS  Google Scholar 

  3. Walker M, Radley S. Adenocarcinoma in an ileoanal pouch formed for ulcerative colitis in a patient with primary sclerosing cholangitis and a liver transplant: report of a case and review of the literature. Dis Colon Rectum 2006;49:909–12.

    Article  PubMed  Google Scholar 

  4. Schaffzin DM, Smith LE. Squamous-cell carcinoma developing after an ileoanal pouch procedure: report of a case. Dis Colon Rectum 2005;48:1086–9.

    Article  PubMed  Google Scholar 

  5. Achneck HE, Wong IY, Kim PJ, et al. Ileostomy adenocarcinomas in the setting of ulcerative colitis. J Clin Gastroenterol 2005;39:396–400.

    Article  PubMed  Google Scholar 

  6. Heise CP, Gopal D, Harms BA. Novel presentation and management of ileal pouch mucocele. Surgery 2005;138:100–2.

    Article  PubMed  Google Scholar 

  7. Davies RS, Wright A, Walker SJ. Case report: pelvic mucocele after sub-total colectomy and rectal excision. Clin Radiol 1995;50:499–500.

    Article  PubMed  CAS  Google Scholar 

  8. Elsman BH, Van Vroonhoven TJ. Pelvic mucocele: a late complication after surgical treatment of ulcerative colitis. Case report. Eur J Surg 1995;161:373–4.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Brown Medical School, Providence, Rhode Island, USA

    Michael P. Kurtz B.S.

  2. Department of Surgery, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1259, New York, New York, 10029, USA

    Tomas M. Heimann M.D. & Tomas M. Heimann M.D.

Authors
  1. Michael P. Kurtz B.S.
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  2. Tomas M. Heimann M.D.
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Correspondence to Tomas M. Heimann M.D..

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Kurtz, M.P., Heimann, T.M. Perineal Adenocarcinoma Thirty Years After Proctocolectomy: Report of a Case. Dis Colon Rectum 50, 2241–2243 (2007). https://doi.org/10.1007/s10350-006-0785-x

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  • DOI: https://doi.org/10.1007/s10350-006-0785-x

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