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Cir Esp. 2006 Mar;79(3):184-5.

[Mucinous adenocarcinoma on chronic perianal fistula treated by neoadjuvant chemoradiotherapy and laparoscopy-assisted abdominoperineal amputation].

[Article in Spanish]

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  • 1Servicio de Cirugía General y Aparato Digestivo, Hospital de Zumárraga, Zumárraga, Guipúzcoa, País Vasco, Spain.


We present a male patient with a perianal fistula of 30 years' duration that had been treated on several occasions. The patient presented with mucoid anal adenocarcinoma. He was treated with preoperative neoadjuvant chemotherapy (5-FU and leucovorin) and external radiation therapy plus laparoscopy-assisted abdominoperineal amputation. Mucoid adenocarcinoma on chronic perianal fistula is an infrequent process. Late diagnosis is associated with a poor prognosis.

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