Perianal Abscess with Fistula inAno Complicating As Basal Cell Carcinoma- A Rare Presentation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Fistula In Ano Usually Presents With Pus Discharge Perianal Region, Sometimes With Mucus Discharge. Malignant Transformation In Fistula In Ano Very Rare Presentation1 , And To Assess Preoperatively Is Almost Next To Impossible, It Requires A High Index Of Clinical Suspicion And Proper Workup. We Present A Very Rare Case Of Elderly Female Who Initially Presented With Pus Discharge And Pain In Perianal Region For 2-3 Months, On Through Clinical Examination And Investigation (Including MRI Fistulogram) Done, A Diagnosis Of Perianal Abscess And High Fistula In Ano Was Made. Fistulous Tract Which Was Sent For Histopathological Examination Turned Out As Nodular Type Of Basal Cell Carcinoma. Fistula In Ano Is A Benign Disease Usually Present With Pus Discharge, Very Rarely with Malignant Changes, A High Index Of Suspicion Should Be Kept If Presenting In Old Age, With Long Standing History Or With Recurrent History Or With History Of Mucus Discharge Or With Some Associated Mass.
Authors and Affiliations
Dr. Ramesh Kumar Aggarwal, Dr. Bishal Badal Mohanty, Dr Arun Prasad, Dr Vikas Kashyap
Keywords
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- EP ID EP369456
- DOI 10.9790/0853-1703090104.
- Views 68
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