De Martino, Ciro

Evangelista, Marco

Maharajan, Gautam

Martino, Antonio

Pisapia, Anna

English

PubMed

Antonio Martino

Ciro De Martino

Anna Pisapia

Gautam Maharajan

Marco Evangelista

Springer - Publisher Connector

MEETING ABSTRACT Open Access
Squamous-cell carcinoma arising in a pilonidal
sinus: case report and review of the literature
Antonio Martino1, Ciro De Martino2*, Anna Pisapia2, Gautam Maharajan1, Marco Evangelista1
From XXIII Annual Meeting of the Italian Society of Geriatric Surgery
Lecce, Italy. 2-4 December 2010
Background
Squamous-cell carcinoma arising in a pilonidal sinus is a
rare complication of a common disease. More than 60
cases are reported in literature. In all patients, squamous
carcinoma arises in a long-term pilonidal disease. The
gold-standard for treatment is radical excision of the
neoplasm, with tumour-free margins. Some Authors
consider the effectiveness of postoperative chemo- or
radiotherapy, to reduce local recurrence.
Methods
Authors report the case of a 65-years old male, with a
15-year history of recurrent pilonidal disease. He was
admitted to the General Surgery Unit because of the
development of a bleeding ulcerated lesion in the piloni-
dal area. The patient underwent an incisional biopsy
(showing squamous-cell carcinoma), preoperative sta-
ging with total body CT-scan, and finally radical surgery.
The large wound healed by secondary intention. Defini-
tive histology confirmed diagnosis and revealed tumour-
free margins. After being discharged, the patient was fol-
lowed up on as an outpatient.
Results
Hospital stay took 10 days, due to the complexity of the
first medications. A posterior rectocele was observed,
but no functional diseases were identified. The complete
formation of the scar took three months. After six
months, no complication or signs of recurrence were
observed.
Conclusions
Squamous-cell carcinoma arising in a pilonidal sinus is a
rare occurrence that develops only in long-standing
pilonidal diseases. The tumour grows very slowly, but
has a high local invasivity. Inguinal lymphadenopaties at
the time of diagnosis is related to a poor prognosis.
Local recurrence is usual and early. Enlargement of exci-
sion in case of local recurrence, and abdomino-perineal
resection if sphincters are involved, may improve survi-
val rates. There are not enough trials to assess the use-
fulness of preoperative or postoperative chemo- and
radio- therapy.
Author details
1Casa di Cura “A. Grimaldi” di San Giorgio a Cremano (NA). Dipartimento di
Chirurgia, Italy. 2Università degli Studi di Napoli “Federico II”. U.O.C. di
Chirurgia Generale, Italy.
Published: 24 August 2011
References
1. Abboud B, Ingea H: Recurrent squomous-cell carcinoma arigins in
sacrococcygeale pylonidal sinus tract. Dis Colon Rectum 1999, 4:525-28.
2. Chatzis I, Noussios G, Katsourakis A, Chatzitheoklitos E: Squamous cell
carcinoma related to long standing pilonidal-disease. Eur J Dermatol
2009, 19(4):409-9.
3. Kulaylat MN, Gong M, Doerr RJ: Multimodality treatment of squamous cell
carcinoma complicating pilonidal disease. Am Surg 1996, 62(11):922-9.
doi:10.1186/1471-2318-11-S1-A28
Cite this article as: Martino et al.: Squamous-cell carcinoma arising in a
pilonidal sinus: case report and review of the literature. BMC Geriatrics
2011 11(Suppl 1):A28.
* Correspondence: ciro.de@tiscali.it
2Università degli Studi di Napoli “Federico II”. U.O.C. di Chirurgia Generale,
Italy
Full list of author information is available at the end of the article
Martino et al. BMC Geriatrics 2011, 11(Suppl 1):A28
http://www.biomedcentral.com/1471-2318/11/S1/A28
© 2011 Martino et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons
Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.


Squamous-cell carcinoma arising in a pilonidal sinus: case report and review of the literature

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Evangelista Marco

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BMC Geriatrics

Chatzitheoklitos E: Squamous cell carcinoma related to long standing pilonidal-disease.

ciro.de@tiscali.it 2Università degli Studi di Napoli “Federico II”. U.O.C. di Chirurgia Generale, Italy Full list of author information is available at the end of the article Martino et al.

Ingea H: Recurrent squomous-cell carcinoma arigins in sacrococcygeale pylonidal sinus tract. Dis Colon Rectum

RJ: Multimodality treatment of squamous cell carcinoma complicating pilonidal disease. Am Surg

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Squamous-cell carcinoma arising in a pilonidal sinus: case report and review of the literature

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