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Recurrent squamous-cell carcinoma arising in sacrococcygeal pilonidal sinus tract: Report of a case and review of the literature.

Abboud, Bassam M.D.; Ingea, Henri M.D.
Diseases of the Colon & Rectum: April 1999
doi: 10.1007/BF02234181
Case Reports: PDF Only

PURPOSE: Carcinoma arising in a pilonidal sinus is a rare complication. This study reports the case of a patient with recurrent squamous-cell carcinoma arising in a sacrococcygeal pilonidal sinus tract.

METHODS: This patient was treated with a wide local excision and mesh grafts. Three months later the patient was treated with adjuvant radiation therapy.

RESULTS: The patient died two years later from recurrence in inguinal lymph nodes, liver, and lungs.

CONCLUSION: Some authors propose consideration of treatment with adjuvant chemotherapy and radiation therapy in addition to complete local excision as a possible means to decrease the local recurrence rate.

(C) The ASCRS 1999