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Cutaneous Perianal Recurrence on the Site of Lone Star Retractor™ after J-pouch Coloanal Anastomosis for Rectal Cancer: Report of Two Cases

  • Case Report
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Diseases of the Colon & Rectum

Abstract

Cutaneous perianal recurrence is rare after anterior resection for rectal cancer. In most cases, exfoliated tumor cells almost certainly seeded onto an area of anal canal that was injured by the head of the stapling gun used for the fashion of stapled colorectal anastomosis. The first two cases of cutaneous perineal recurrence on the site of a Lone Star Retractor™ after handsewn J-pouch coloanal anastomosis for rectal cancer are presented. In two cases, recurrence occurred on the scars induced by elastic stay hook of Lone Star retractor. Both cases were treated by local excision alone. At one year of follow-up, there were no signs of local recurrence.

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References

  1. De Friend DJ, Kramer E, Prescott R, Corson J, Gallagher P. Cutaneous perianal recurrence of cancer after anterior resection using the EEA stapling device. Ann R Coll Surg Engl 1992;74:142–3.

    PubMed  Google Scholar 

  2. Kouraklis G, Glinavou A, Kouvaraki M, Raftopoulos J, Karatzas G. Anal lesion resulting from implantation of viable tumour cells in a pre-existing anal fistulaA case report. Acta Chir Belg 2002;102:212–3.

    PubMed  CAS  Google Scholar 

  3. Smiley D, Goldberg RI, Phillips RS, Barkin JS. Anal metastasis from colorectal carcinoma. Am J Gastroenterol 1988;83:460–2.

    PubMed  CAS  Google Scholar 

  4. Wind P, Douard R, Poupardin E, Cugnenc PH. Anal implantation of exfoliated tumour cells from a rectal adenocarcinoma after colorectal stapled anastomosis. Eur J Surg 1999;165:905–6.

    Article  PubMed  CAS  Google Scholar 

  5. Zinzindohoue F, Penna C, Parc R. Adenocarcinoma arising on the site of a Gelpi retractor after coloanal anastomosis for rectal cancer. Br J Surg 1997;84:362.

    Article  PubMed  CAS  Google Scholar 

  6. Penfold J, Mann C. An unusual metastasis of carcinoma of the rectum. Br J Surg 1973;60:325.

    Article  PubMed  CAS  Google Scholar 

  7. Reed MW, Stoddard CJ. Cutaneous perianal recurrence of cancer after anterior resection using the EEA stapling device. Ann R Coll Surg Engl 1992;74:301–2.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, AP-HP, Hôpital Ambroise Paré, Boulogne, France

    Hadrien Tranchart M.D., Stéphane Benoist M.D., Ph.D., Christophe Penna M.D. & Bernard Nordlinger M.D.

  2. Université Versailles Saint Quentin en Yvelines, Versailles, France

    Stéphane Benoist M.D., Ph.D., Christophe Penna M.D., Catherine Julie M.D., Philippe Rougier M.D. & Bernard Nordlinger M.D.

  3. Department of Pathology, AP-HP, Hôpital Ambroise Paré, Boulogne, France

    Catherine Julie M.D.

  4. Department of Gastroenterology and Oncology, AP-HP, Hôpital Ambroise Paré, Boulogne, France

    Philippe Rougier M.D.

  5. Service de Chirurgie Générale et Digestive, Hôpital Ambroise Paré, 9, Avenue Charles de Gaulle, 92104, Boulogne Cedex, France

    Bernard Nordlinger M.D.

Authors
  1. Hadrien Tranchart M.D.
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  2. Stéphane Benoist M.D., Ph.D.
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  3. Christophe Penna M.D.
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  4. Catherine Julie M.D.
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  5. Philippe Rougier M.D.
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  6. Bernard Nordlinger M.D.
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Corresponding author

Correspondence to Bernard Nordlinger M.D..

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Tranchart, H., Benoist, S., Penna, C. et al. Cutaneous Perianal Recurrence on the Site of Lone Star Retractor™ after J-pouch Coloanal Anastomosis for Rectal Cancer: Report of Two Cases. Dis Colon Rectum 51, 1850–1852 (2008). https://doi.org/10.1007/s10350-008-9338-9

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  • DOI: https://doi.org/10.1007/s10350-008-9338-9

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