Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jun 21, 2009; 15(23): 2918-2919
Published online Jun 21, 2009. doi: 10.3748/wjg.15.2918
Surgical treatment of locally advanced anal cancer after male-to-female sex reassignment surgery
Marco Caricato, Fabio Ausania, Giovanni Francesco Marangi, Ilaria Cipollone, Gerardo Flammia, Paolo Persichetti, Lucio Trodella, Roberto Coppola
Marco Caricato, Fabio Ausania, Ilaria Cipollone, Gerardo Flammia, Roberto Coppola, Department of General Surgery, Campus Bio Medico University of Rome, Rome 00139, Italy
Giovanni Francesco Marangi, Paolo Persichetti, Plastic and Reconstructive Surgery, Campus Bio Medico University of Rome, Rome 00139, Italy
Lucio Trodella, Radiation Oncology, Campus Bio Medico University of Rome, Rome 00139, Italy
Author contributions: Caricato M had full access to all of the data in the study and takes responsibility for the integrity of the data; the study concept and design were devised by Ausania F; the acquisition of data was done by Marangi GF, Cipollone I, Flammia G; Critical revision of the manuscript was done by Coppola R, Trodella L, Persichetti P.
Correspondence to: Fabio Ausania, MD, Department of General Surgery, Campus Bio Medico University of Rome, Via Alvaro del Portillo, 20000128, Rome 00139, Italy. f.ausania@googlemail.com
Telephone: +39-32-88850527
Received: March 8, 2009
Revised: May 15, 2009
Accepted: May 22, 2009
Published online: June 21, 2009
Abstract

We present a case of a transsexual patient who underwent a partial pelvectomy and genital reconstruction for anal cancer after chemoradiation. This is the first case in literature reporting on the occurrence of anal cancer after male-to-female sex reassignment surgery. We describe the surgical approach presenting our technique to avoid postoperative complications and preserve the sexual reassignment.

Keywords: Sex reassignment, Pelvic surgery, Anal cancer