2014, Number 1
<< Back Next >>
Cir Cir 2014; 82 (1)
Moderately differentiated squamous cell carcinoma associated pilonidal cyst
Cruz-Mendoza I, Hernández-Jesús B, López-Pérez E, Flores-Cobos AE, García-Rodríguez F
Language: Spanish
References: 12
Page: 87-92
PDF size: 340.51 Kb.
ABSTRACT
Background: Malignant degeneration of pilonidal sinus is a rare complication
observed mainly in recurrent chronic cases of the disease,
associated to a very bad prognosis. In the world’s literature we find
it like an infrequent entity. In Spain had reviewed 367 patients with
simple and complicated pilonidal cysts. We found three cases (0.81%)
of epidermoid carcinoma.
Clinical case: Men’s 60 years of age, with clinical picture of 50 years
of evolution with the presence of sacral tumor, is resection and histopathological
reporting of pilonidal cyst; taking evolution at healing, with
necrotic edges; resection of these will decide and report is squamous
cell carcinoma.
Conclusions: Pilonidal sinus epidermoid carcinoma is an infrequent
disease predicting for very poor outcome.
REFERENCES
Eelco de Bree, Zoetmulder FAN, Christodoulakis M, Aleman BMP, Tsiftsis DD. Treatment of Malignancy Arising in Pilonidal Disease. Ann Surg Oncol 2001;8:60-64.
Val-Bernal JF, Azcarretazábal T, Garijo MF. Pilonidal sinus of the penis. A report of two cases, one of them associated with actinomycosis. J Cutan Pathol 1999;26:155-158.
Davis KA, Mock CN, Versaci A, Lentrichia P. Malignant degeneration of pilonidal cysts. Am Surg 1994;60:200-204.
Kulaylat MN, Gong M, Doerr RJ. Multimodality treatment of squamous cell carcinoma complicating pilonidal disease. Am Surg 1996;62:922-929.
Jeddy TA, Vowles RH, Southam JA. Squamous cell carcinoma in chronic pilonidal disease. Br J Clin Pract 1994;48:160-161.
Gur E, Neligan PC, Shafir R, Reznick R, Cohen M, Shpitzer T. Squamous cell carcinoma in perineal inflammatory disease. Ann Plast Surg 1997;38:653-657.
Abboud B, Ingea H. Recurrent squamous-cell carcinoma arising in sacrococcygeal pilonidal sinus tract: report of a case and review of the literature. Dis Colon Rectum 1999;42:525-528.
Williamson JD, Silverman JF, Tafra L. Fine-needle aspiration cytology of metastatic squamous-cell carcinoma arising in a pilonidal sinus, with literature review. Diagn Cytopathol 1999;20:367-370.
Bartelink H, Roelofsen F, Eschwege F, Rouger P, Bousst JF, Gonzalez DG, et al. Concomitant radiotherapy and chemotherapy is superior to radiotherapy in the treatment of locally advanced anal cancer: Results of a phase III randomized trial of the European Organization for Research and Treatment of Cancer Radiotherapy and Gastrointestinal Cooperative Groups. J Clin Oncol 1997;15:2040-2049.
Cohen AM, Wong WD. Anal squamous cell cancer nodal metastases: prognostic significance and therapeutic considerations. Surg Oncol Clin N Am 1996;5:203-210.
Alecha Gil J, Echenique-Elizondo M, Amondarain, Górriz Arias G. Carcinoma epidermoide sobre sinus pilonidal. Oncología 2006;29:227-230.
I. Alarcón-del Agua. C. Bernardos-García, M. Bustos- Jiménez, I Serrano-Borrero, M. D. Casado-Maestre, F. Docobo-Durantez. Degeneración maligna sobre quiste pilonidal. Cir Cir 2011;79:374-378.