Rare Case of Anal Canal Signet Ring Cell Carcinoma Associated with Perianal and Vulvar Pagetoid Spread.
- Author:
Na Rae KIM
1
;
Hyun Yee CHO
;
Jeong Heum BAEK
;
Juhyeon JEONG
;
Seung Yeon HA
;
Jae Yeon SEOK
;
Sung Won PARK
;
Sun Jin SYM
;
Kyu Chan LEE
;
Dong Hae CHUNG
Author Information
- Publication Type:Case Report
- Keywords: Carcinoma, signet ring cell; Anal canal; Paget disease, extramammary
- MeSH: Anal Canal*; Carcinoma, Signet Ring Cell*; Colonic Polyps; Female; Humans; Lymph Node Excision; Lymph Nodes; Middle Aged; Neoplasm Metastasis; Paget Disease, Extramammary; Physical Examination; Pruritus; Skin
- From:Journal of Pathology and Translational Medicine 2016;50(3):231-237
- CountryRepublic of Korea
- Language:English
- Abstract: A 61-year-old woman was referred to surgery for incidentally found colonic polyps during a health examination. Physical examination revealed widespread eczematous skin lesion without pruritus in the perianal and vulvar area. Abdominopelvic computed tomography showed an approximately 4-cm-sized, soft tissue lesion in the right perianal area. Inguinal lymph node dissection and Mils' operation extended to perianal and perivulvar skin was performed. Histologically, the anal canal lesion was composed of mucin-containing signet ring cells, which were similar to those found in Pagetoid skin lesions. It was diagnosed as an anal canal signet ring cell carcinoma (SRCC) with perianal and vulvar Pagetoid spread and bilateral inguinal lymph node metastasis. Anal canal SRCC is rare, and the current case is the third reported case in the English literature. Seven additional cases were retrieved from the world literature. Here, we describe this rare case of anal canal SRCC with perianal Pagetoid spread and provide a literature review.
