TY - JOUR
T1 - A Case of More Than Five-Year Survival of Carcinoma Associated with Anal Fistula Effectively Treated by Combined Modality Therapy
AU - Yaegashi, Mizunori
AU - Otsuka, Koki
AU - Kimura, Toshimoto
AU - Matsuo, Teppei
AU - Sato, Kei
AU - Takashimizu, Kiyoharu
AU - Hatanaka, Tomoki
AU - Yoshida, Toru
AU - Tono, Chihiro
AU - Minagawa, Yukihiro
AU - Takahashi, Masanori
AU - Ishioka, Hideki
AU - Sugimoto, Ryo
AU - Sugai, Tamotsu
AU - Sasaki, Akira
PY - 2017/11/1
Y1 - 2017/11/1
N2 - 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.
AB - 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.
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M3 - Article
C2 - 29394765
AN - SCOPUS:85046404648
SN - 0385-0684
VL - 44
SP - 1754
EP - 1756
JO - Gan to kagaku ryoho. Cancer & chemotherapy
JF - Gan to kagaku ryoho. Cancer & chemotherapy
IS - 12
ER -