Internal hemorrhoid harboring adenocarcinoma: A case report.
Publication/Presentation Date
1-15-2021
Abstract
BACKGROUND: The incidence of carcinoma found within an internal hemorrhoid specimen is exceptionally rare. Further, the presence of primary anal canal adenocarcinoma within internal hemorrhoids is even more infrequent. We describe a case in which anal canal adenocarcinoma was found within an internal hemorrhoidectomy specimen and perform a review of the current literature.
CASE SUMMARY: The patient was a 79-year-old male who presented with rectal bleeding and was found to have large thrombosed internal hemorrhoids during screening colonoscopy. The patient subsequently underwent a three-column hemorrhoi-dectomy. Pathologic analysis revealed one of three specimens containing a 1.5 cm moderate-to-poorly differentiated adenocarcinoma of anal origin with superficial submucosal invasion. At three-month follow up, he was taken to the operating theatre for biopsy and re-excision of his non-healing wound, which showed no recurrence. His wound has since healed and he was cancer free at ten-month follow up.
CONCLUSION: When faced with primary anal canal adenocarcinoma an interdisciplinary approach to treatment should be considered. Routine pathological analysis of hemorrhoidectomy specimens may be beneficial due to the severity of anal canal carcinomas if left undiagnosed and untreated in a timely manner.
Volume
13
Issue
1
First Page
87
Last Page
91
ISSN
1948-5204
Published In/Presented At
Caparelli, M. L., Batey, J. C., Tailor, A., Braverman, T., & Barrat, C. (2021). Internal hemorrhoid harboring adenocarcinoma: A case report. World journal of gastrointestinal oncology, 13(1), 87–91. https://doi.org/10.4251/wjgo.v13.i1.87
Disciplines
Medicine and Health Sciences
PubMedID
33510851
Department(s)
Department of Surgery
Document Type
Article