경희대학교
의과대학 외과학교설, 해부학교실*, 송도병원 외과**
김준호·이석환·고영관·윤
충·임성직*·양문호*·유정준**·이기형
A
Case of Perianal Adenocarcinoma Developing in
Chronic Tuberculous Anal Fistula
Joon-Ho
Kim, M.D., Seok-Hwan Lee, M.D., Young-Gwan Ko, M.D. Choong Yoon, M.D., Sung-Jig
Lim, M.D.*, Moon-Ho Yang, M.D*, Jung-Joon Yoo, M.D.** and Kee-Hyung Lee, M.D.
Departments
of Surgery,, and Pathology*, Kyung-Hee University Hospital and
Department of Surgery, Song-Do Colorectal Hospital**
Mucinous
adenocarcinomas of the anal region constitute only 2% of anal cancer and adenocarcinoma
developing in a chronic tuberculous anal fistula is extremely rare. In most cases,
its origin is difficult to ascertain because the primary sites have already been
destroyed before any diagnosis of malignancy is made. We experienced a case of perianal
adenocarcinoma developing in chronic tuberculous anal fistula, which was treated
by abdominoperineal resection with preoperative chemo-irradiation. We reported a
case and reviewed the related literatures.
Key
Words: Perianal adenocarcinoma, Chronic tuberculous fistula |
