A Case of More Than Five-Year Survival of Carcinoma Associated with Anal Fistula Effectively Treated by Combined Modality Therapy

Mizunori Yaegashi, Koki Otsuka, Toshimoto Kimura, Teppei Matsuo, Kei Sato, Kiyoharu Takashimizu, Tomoki Hatanaka, Toru Yoshida, Chihiro Tono, Yukihiro Minagawa, Masanori Takahashi, Hideki Ishioka, Ryo Sugimoto, Tamotsu Sugai, Akira Sasaki

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The patient was a 56-year-old man who presented with perianal pain and a perianal abscess. After admission, he underwent debridement and colostomy due to poor control of the perianal abscess. Following a biopsy of the resected specimens, he was diagnosed with adenocarcinoma in the anorectal fistula. CT and MRI revealed that the tumor had invaded into the internal obturator muscle. Therefore, preoperative chemoradiotherapy and chemotherapy were given for locally advanced cancer. Subsequent to tumor shrinkage, we performed an abdominoperineal resection. Histopathologically, no cancer cells were detected on the surgical margin, and the effect of the preoperative therapy was judged to be Grade 1b. There has been no indication of recurrence of cancer after 5 years.

Original languageEnglish
Pages (from-to)1754-1756
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume44
Issue number12
Publication statusPublished - 01-11-2017

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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