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.

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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.