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HOME > Kosin Med J > Volume 29(2); 2014 > Article
Case Report
A Case of Rectal Squamous Cell Carcinoma Mistaken for Rectal Adenocarcinoma
Jung Ik Park, Ung Seok Yang, Sung Won Moon, Oun Ouk Nam, Hyo Jong Kim, Jeong Seok Lee, San Gyu Oh
Kosin Medical Journal 2014;29(2):157-160.
DOI: https://doi.org/10.7180/kmj.2014.29.2.157
Published online: December 18, 2014

1Department of Internal Medicine, Dong-eui Medical Center, Busan, Korea

Corresponding Author : Ung Seok Yang, Department of Internal Medicine, Dong-Eui Medical Center, San 45-1, Yangjung2-dong, Jin-gu, Busan, 614-710, Korea TEL: +82-51-850-8794 FAX: +82-51-865-8002 E-mail: usyang112@gmail.com
• Received: November 15, 2013   • Accepted: December 27, 2013

Copyright © 2014 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • We report a case of anal squamous cell carcinoma extended to the rectal mucosa that was clinically mistaken for rectal adenocarcinoma and literature reviwed. Sigmoidoscopic finding showed spherical shaped elevated lesion with central ulceration, interpreted as rectal adenocarcinoma in the distal portion of rectum. Anal squamous cell carcinoma is very rare among gastrointestinal cancer. Pathological study of the biopsy specimen demonstrated squamous cell carcinoma and normal rectal glands. Sigmoidoscopic finding of the presented case showed the ulcerarive lesion contineuosly extended from anal verge upward to the rectum. We postulate that the presented case is primarilly originated from the anal squamous cell carcinoma extended proximally to the rectum. Immunohistochemical stain(p-63) of the biopsy specimens showed squamous cell carcinoma. This patient has been completely recovered after treartment of chemoradiation and trans-anal excision. We present a case of anal squamous cell carcinoma invading rectal mucosa clinically mistaken for rectal adenocarcinoma and literature reviewed.
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