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[A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene].
Gan To Kagaku Ryoho. 2015 Nov; 42(12):2291-3.GT

Abstract

A 71-year-old woman diagnosed with Fournier's gangrene caused by penetration of a rectal carcinoma was referred to our hospital. Emergency drainage and sigmoid colostomy were performed. Pathological examination of a biopsy sample showed moderately differentiated tubular adenocarcinoma. Abdominoperineal resection with bilateral salpingo-oophorectomy and hysterectomy was performed with curative intent after 4 courses of chemotherapy with S-1 and oxaliplatin. The postoperative pathological diagnosis was StageⅡ (pT4bN0M0). The patient received tegafur/uracil and Leucovorin as adjuvant chemotherapy. Seven months after the curative operation, partial pneumonectomy was performed for the recurrence of the rectal carcinoma in the right lung. Eight months after pneumonectomy, recurrent tumors were observed in the right lung and subcutaneous fat layer of the right buttock along the drainage site. The tumor in the right buttock was excised along with part of the gluteus maximus, and partial pneumonectomy was then performed. Three years and 6 months after the emergency drainage, the patient is alive with no evidence of recurrence. After drainage for rectal carcinoma complicated by Fournier's gangrene, the possibility of recurrence around the drainage site should be considered.

Authors+Show Affiliations

Abe K
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
Kameyama H
No affiliation info available
Shimada Y
No affiliation info available
Yamada S
No affiliation info available
Soma D
No affiliation info available
Yagi R
No affiliation info available
Miura K
No affiliation info available
Tatsuda K
No affiliation info available
Tajima Y
No affiliation info available
Okamura T
No affiliation info available
Nakano M
No affiliation info available
Nakano M
No affiliation info available
Kobayashi T
No affiliation info available
Kosugi S
No affiliation info available
Wakai T
No affiliation info available

MeSH

AdenocarcinomaAgedAntineoplastic Combined Chemotherapy ProtocolsDrainageFemaleFournier GangreneHumansLung NeoplasmsNeoplasm Recurrence, LocalPneumonectomyPrognosisRectal Neoplasms

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

26805341

Citation

Abe, Kaoru, et al. "[A Case of Rectal Carcinoma With Recurrence Around the Drainage Site Complicated By Fournier's Gangrene]." Gan to Kagaku Ryoho. Cancer & Chemotherapy, vol. 42, no. 12, 2015, pp. 2291-3.
Abe K, Kameyama H, Shimada Y, et al. [A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene]. Gan To Kagaku Ryoho. 2015;42(12):2291-3.
Abe, K., Kameyama, H., Shimada, Y., Yamada, S., Soma, D., Yagi, R., Miura, K., Tatsuda, K., Tajima, Y., Okamura, T., Nakano, M., Nakano, M., Kobayashi, T., Kosugi, S., & Wakai, T. (2015). [A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene]. Gan to Kagaku Ryoho. Cancer & Chemotherapy, 42(12), 2291-3.
Abe K, et al. [A Case of Rectal Carcinoma With Recurrence Around the Drainage Site Complicated By Fournier's Gangrene]. Gan To Kagaku Ryoho. 2015;42(12):2291-3. PubMed PMID: 26805341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene]. AU - Abe,Kaoru, AU - Kameyama,Hitoshi, AU - Shimada,Yoshifumi, AU - Yamada,Saki, AU - Soma,Daiki, AU - Yagi,Ryoma, AU - Miura,Kohei, AU - Tatsuda,Kumiko, AU - Tajima,Yosuke, AU - Okamura,Takuma, AU - Nakano,Mae, AU - Nakano,Masato, AU - Kobayashi,Takashi, AU - Kosugi,Shin-ichi, AU - Wakai,Toshifumi, PY - 2016/1/26/entrez PY - 2016/1/26/pubmed PY - 2016/4/2/medline SP - 2291 EP - 3 JF - Gan to kagaku ryoho. Cancer & chemotherapy JO - Gan To Kagaku Ryoho VL - 42 IS - 12 N2 - A 71-year-old woman diagnosed with Fournier's gangrene caused by penetration of a rectal carcinoma was referred to our hospital. Emergency drainage and sigmoid colostomy were performed. Pathological examination of a biopsy sample showed moderately differentiated tubular adenocarcinoma. Abdominoperineal resection with bilateral salpingo-oophorectomy and hysterectomy was performed with curative intent after 4 courses of chemotherapy with S-1 and oxaliplatin. The postoperative pathological diagnosis was StageⅡ (pT4bN0M0). The patient received tegafur/uracil and Leucovorin as adjuvant chemotherapy. Seven months after the curative operation, partial pneumonectomy was performed for the recurrence of the rectal carcinoma in the right lung. Eight months after pneumonectomy, recurrent tumors were observed in the right lung and subcutaneous fat layer of the right buttock along the drainage site. The tumor in the right buttock was excised along with part of the gluteus maximus, and partial pneumonectomy was then performed. Three years and 6 months after the emergency drainage, the patient is alive with no evidence of recurrence. After drainage for rectal carcinoma complicated by Fournier's gangrene, the possibility of recurrence around the drainage site should be considered. SN - 0385-0684 UR - https://www.unboundmedicine.com/medline/citation/26805341/[A_Case_of_Rectal_Carcinoma_with_Recurrence_around_the_Drainage_Site_Complicated_by_Fournier's_Gangrene]_ DB - PRIME DP - Unbound Medicine ER -