Retrorectal Cystic Hamartoma with Malignant Transformation
2020
Retrorectal cystic hamartomas are rare congenital
lesions that can undergo malignant transformation, and adenocarcinoma is the
most frequently described histological type. The authors describe a case of a
53-year-old female patient with a localized well-differentiated adenocarcinoma
that developed in a retrorectal cystic
hamartoma. The patient was submitted to surgery (a Kraske procedure),
with an R1 resection, followed by adjuvant radio-chemotherapy. After 23 months
of follow up, the patient remains free from disease recurrence. Given the rarity of this entity, this case allows us
to reflect on the differential diagnosis, therapeutic approach and patients’
follow-up.
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