Rare Case of Synchronous Mucinous Adenocarcinoma in Rectosigmoid and Anal Fistula
Author Information
Author(s): Sandiford Nemandra, Prussia Patsy R, Chiappa Antonio, Zbar Andrew P
Primary Institution: Queen Elizabeth Hospital, Barbados
Hypothesis
Is synchronous mucinous adenocarcinoma of the rectosigmoid and anal fistula a rare occurrence?
Conclusion
The case highlights the rarity of synchronous mucinous adenocarcinoma in the rectosigmoid and anal fistula, with no recurrence observed after treatment.
Supporting Evidence
- Synchronous adenocarcinoma of the rectosigmoid and the perianum is exceptionally rare.
- The patient had a history of a perianal fistula for 2 years before diagnosis.
- Histology showed a moderate to well differentiated adenocarcinoma with extensive mucinous components.
- Clear resection margins were achieved during surgery.
- Chemoradiation was administered postoperatively.
Takeaway
A 72-year-old man had a rare type of cancer in his rectum and anal fistula, but after surgery and treatment, he didn't have any more problems for over a year.
Methodology
The patient underwent sigmoid colectomy and wide fistula excision, followed by chemoradiation.
Limitations
Only one case is reported, limiting the generalizability of the findings.
Participant Demographics
72-year-old Afro-Caribbean male.
Digital Object Identifier (DOI)
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