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Squamous-cell carcinoma arising in a pilonidal sinus: case report and review of the literature

Authors
Journal
BMC Geriatrics
1471-2318
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Volume
11
Identifiers
DOI: 10.1186/1471-2318-11-s1-a28
Keywords
  • Meeting Abstract
Disciplines
  • Biology
  • Medicine

Abstract

Squamous-cell carcinoma arising in a pilonidal sinus: case report and review of the literature MEETING ABSTRACT Open Access Squamous-cell carcinoma arising in a pilonidal sinus: case report and review of the literature Antonio Martino1, Ciro De Martino2*, Anna Pisapia2, Gautam Maharajan1, Marco Evangelista1 From XXIII Annual Meeting of the Italian Society of Geriatric Surgery Lecce, Italy. 2-4 December 2010 Background Squamous-cell carcinoma arising in a pilonidal sinus is a rare complication of a common disease. More than 60 cases are reported in literature. In all patients, squamous carcinoma arises in a long-term pilonidal disease. The gold-standard for treatment is radical excision of the neoplasm, with tumour-free margins. Some Authors consider the effectiveness of postoperative chemo- or radiotherapy, to reduce local recurrence. Methods Authors report the case of a 65-years old male, with a 15-year history of recurrent pilonidal disease. He was admitted to the General Surgery Unit because of the development of a bleeding ulcerated lesion in the piloni- dal area. The patient underwent an incisional biopsy (showing squamous-cell carcinoma), preoperative sta- ging with total body CT-scan, and finally radical surgery. The large wound healed by secondary intention. Defini- tive histology confirmed diagnosis and revealed tumour- free margins. After being discharged, the patient was fol- lowed up on as an outpatient. Results Hospital stay took 10 days, due to the complexity of the first medications. A posterior rectocele was observed, but no functional diseases were identified. The complete formation of the scar took three months. After six months, no complication or signs of recurrence were observed. Conclusions Squamous-cell carcinoma arising in a pilonidal sinus is a rare occurrence that develops only in long-standing pilonidal diseases. The tumour grows very slowly, but has a high local invasivity. Inguinal lymphadenopaties at the time of diagnosis is related to a poor p

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