Squamous cell carcinoma arising from longstanding colocutaneous fistula: A case report

doi:10.3748/wjg.v11.i33.5251

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Sep 7, 2005 (publication date) through Apr 26, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastroenterol. Sep 7, 2005; 11(33): 5251-5253
Published online Sep 7, 2005. doi: 10.3748/wjg.v11.i33.5251

Squamous cell carcinoma arising from longstanding colocutaneous fistula: A case report

Yueh-Tsung Lee, Sheng-Der Hsu, Chien-Long Kuo, Dev-Aur Chou, Mao-Sheng Lin, Min-Ho Huang, Hurng-Sheng Wu

Yueh-Tsung Lee, Dev-Aur Chou, Min-Ho Huang, Hurng-Sheng Wu, Division of General Surgery, Department of Surgery, Show-Chwan Memorial Hospital, Changhua, Taiwan, China

Chien-Long Kuo, Department of Pathology, Show-Chwan Memorial Hospital, Changhua, Taiwan, China

Sheng-Der Hsu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, Taiwan, China

Mao-Sheng Lin, Division of Urology, Department of Surgery, Show-Chwan Memorial Hospital, Changhua, Taiwan, China

Author contributions: All authors contributed equally to the work.

Supported by the National Natural Science Foundation of China, No. 30224801

Correspondence to: Dr. Hurng-Sheng Wu, No 542 Sec.1, Chung-Shang Rd, Changhua 500, Taiwan, China. m0931m@yahoo.com.tw

Telephone: +886-4-7256166 Fax: +886-4-7227116

Received: January 5, 2005
Revised: March 18, 2005
Accepted: March 21, 2005
Published online: September 7, 2005

Abstract

A 60-year-old female patient suffered unhealed wounds over left flank for around 30 years after surgical removal of left renal stones. Fecal material spilled from the two small openings of the scar, bothered her all day long. During the course of the 30 years, she suffered from intermittent fever, diarrhea and wound pain and presented with malnourished condition. After serial examinations, tumor associated with iatrogenic colo-cutaneous fistula was impressed and she received en bloc resection. Pathology revealed squamous cell carcinoma arising from the fistula with colon and spleen invasion. To the best of our knowledge, no such case has been reported, as yet.

Keywords: Squamous cell carcinoma, Colo-cutaneous fistula