Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Thoracic Surgery
- Obstetrics Surgery
- Endocrine Surgery
- Emergency Surgery
- Plastic Surgery
- Colon and Rectal Surgery
- Oral and Maxillofacial Surgery
- Orthopaedic Surgery
Abstract
Citation: Clin Surg. 2016;1(1):1062.Case Report | Open Access
Fistula in Ano and Carcinoma: Primary or Secondary?
Chowdri AN, Fazl NS, Parray Q, Wani AR and Thakur N
Sher-I- Kashmir Institute of Medical Sciences, India
*Correspondance to: Nisar A Chowdri
PDF Full Text DOI: 10.25107/2474-1647.1062
Abstract
Because of rarity and depth of the lesion, the carcinoma arising in fistula in ano is often diagnosed late resulting in need for radical surgery and poor outcome. We at our institute analyzed the records for last 10 years and found 3 such cases. In 2 patients the fistulae were long standing of more than 10 years duration and in one patient the fistula of 1 year duration was reported to have a focus of adenocarcinoma in the excised specimen. He received adjuvant radio chemotherapy and is on follow up. All the three were reported to have mucinous adenocarcinoma. One patient underwent abdominoperineal resection (APR) followed by radio chemotherapy, the others received neo adjuvant therapy and is on a diversion colostomy waiting for APR. A long standing and recurrent fistula should raise a high index of suspicion and be examined and biopsied preferably under anesthesia. MRI provides a precise assessment of extension of the lesion. The treatment should be aggressive and radical.
Keywords
Cite the article
Chowdri AN, Fazl NS, Parray Q, Wani AR, Thakur N. Fistula in Ano and Carcinoma: Primary or Secondary? Clin Surg. 2016; 1: 1062.