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Perianal squamous cell carcinoma: A case report.
Christina Eliachevsky1, Erin Templeton1, Atul K Nanda2
1Medical Student, St. George's University School of Medicine, Grenada.
International Journal of Surgery Case Reports
|March 20, 2021
Summary
Perianal squamous cell carcinoma, even with superficial external sphincter involvement, can be successfully treated with surgical resection alone. This approach achieved a complete cure without recurrence or functional deficits one year post-surgery.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Background:
- Perianal squamous cell carcinoma (PSCC) is a rare malignancy often misdiagnosed.
- Standard treatment for early-stage PSCC (T1-T2, N0) typically avoids sphincter involvement.
Observation:
- A 45-year-old male presented with PSCC.
- Intraoperative findings revealed superficial external anal sphincter fiber involvement, contrary to initial imaging.
- A portion of the involved sphincter was excised for complete tumor removal.
Findings:
- The T2N0 perianal lesion was completely resected surgically.
- The patient experienced no recurrence or functional deficits one year after surgery.
Implications:
- Surgical resection may be a viable option for select PSCC cases with superficial sphincter involvement.
- This case challenges the strict contraindication of sphincter involvement in surgical management of PSCC.
- Further research can explore expanded surgical criteria for PSCC treatment.
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