Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Surgery
Volume 2015, Article ID 616274, 2 pages
http://dx.doi.org/10.1155/2015/616274
Case Report

Unexpected Anal Squamous Cells Carcinoma after Open Hemorrhoidectomy

1Department of Surgery, SS. Trinità Hospital, Via Enrico Berlinguer, 65026 Popoli, Italy
2Dipartimento di Scienze Cliniche Applicate e Biotecnologie, University of L’Aquila, Viale dell’Ospedale Edificio Delta 6, 67100 L’Aquila, Italy
3Department of Surgery, University of L’Aquila, Viale dell’Ospedale Edificio Delta 6, 67100 L’Aquila, Italy

Received 25 January 2015; Revised 26 March 2015; Accepted 27 March 2015

Academic Editor: Shin-ichi Kosugi

Copyright © 2015 Navarra Luca et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of unexpected anal squamous cells carcinoma found in hemorrhoidectomy specimen. The patient had a 3-year history of prolapsing hemorrhoids. A prolapsing hemorrhoid was present at eleven o’clock in lithotomy. Milligan-Morgan was performed and gross examination of the specimen was unremarkable. Histopathologic evaluation showed noninvasive squamous cells carcinoma. The present case report evidences the opportunity of routine histopathologic analysis of hemorrhoidal specimens particularly in case of long-standing prolapse. Questions arise in the option of those techniques where no specimens are collected or tissue is excised far from deceased area.