Mucinous adenocarcinoma arising from chronic perianal fistula

• Main Authors: Hisham, Raja B., Abdul Rahman, Sabariah, Alif Gul, Yunus Gul
• Format: Article
• Language: English
• Published: College of Surgeons of Hong Kong 2007
• Online Access: http://psasir.upm.edu.my/id/eprint/15311/1/Mucinous%20adenocarcinoma%20arising%20from%20chronic%20perianal%20fistula.pdf; http://psasir.upm.edu.my/id/eprint/15311/; http://onlinelibrary.wiley.com/doi/10.1111/j.1744-1633.2007.00346.x/abstract;jsessionid=6E1FC3DE7B987C8420227FCB3099B321.f01t01

Perianal mucinous adenocarcinoma is a rare tumour which may be associated with long-standing chronic perianal sepsis. Early diagnosis is challenging and is based on a high index of clinical suspicion and specific histological features. Definitive treatment is surgical, in the form of an abdomino-perineal resection. We hereby describe a case of a perianal mucinous adenocarcinoma arising from long-standing recurrent perianal fistula and complement this with a brief review of the literature pertaining in particular to the management of this condition.