Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature

Purpose. Extrapulmonary small cell carcinoma affecting the anal canal is a rare and poorly understood entity which can, in its early stages, masquerade as benign anorectal disease such as hemorrhoids. Methods. We report a case of this rare malignancy which initially presented with hematochezia and a...

Full description

Saved in:
Bibliographic Details
Main Authors: Joshua M. Eberhardt, Karen Brown, Shelly Lo, Suneel Nagda, Sherri Yong
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/341432
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849684170334273536
author Joshua M. Eberhardt
Karen Brown
Shelly Lo
Suneel Nagda
Sherri Yong
author_facet Joshua M. Eberhardt
Karen Brown
Shelly Lo
Suneel Nagda
Sherri Yong
author_sort Joshua M. Eberhardt
collection DOAJ
description Purpose. Extrapulmonary small cell carcinoma affecting the anal canal is a rare and poorly understood entity which can, in its early stages, masquerade as benign anorectal disease such as hemorrhoids. Methods. We report a case of this rare malignancy which initially presented with hematochezia and anal pain. We also review the literature with regard to previously described cases and management strategies including the role of surgery. Results. Despite aggressive multidisciplinary treatment consisting of chemotherapy and radiation, the disease progressed rapidly with dissemination occurring only three months after completion of treatment. Because of the aggressive nature of this tumor, the treatment options for this almost universally fatal malignancy are often palliative in nature. Conclusion. Chemoradiotherapy is likely the most reasonable approach to extrapulmonary small cell carcinoma of the anal canal given its aggressiveness.
format Article
id doaj-art-bd91da8276c74916a50a5d2bfe30daa8
institution DOAJ
issn 1687-9627
1687-9635
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-bd91da8276c74916a50a5d2bfe30daa82025-08-20T03:23:34ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/341432341432Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the LiteratureJoshua M. Eberhardt0Karen Brown1Shelly Lo2Suneel Nagda3Sherri Yong4Department of Surgery, Section of Colorectal Surgery, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USADepartment of Surgery, Section of Colorectal Surgery, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USADepartment of Medical Oncology, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USADepartment of Radiation Oncology, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USADepartment of Pathology, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USAPurpose. Extrapulmonary small cell carcinoma affecting the anal canal is a rare and poorly understood entity which can, in its early stages, masquerade as benign anorectal disease such as hemorrhoids. Methods. We report a case of this rare malignancy which initially presented with hematochezia and anal pain. We also review the literature with regard to previously described cases and management strategies including the role of surgery. Results. Despite aggressive multidisciplinary treatment consisting of chemotherapy and radiation, the disease progressed rapidly with dissemination occurring only three months after completion of treatment. Because of the aggressive nature of this tumor, the treatment options for this almost universally fatal malignancy are often palliative in nature. Conclusion. Chemoradiotherapy is likely the most reasonable approach to extrapulmonary small cell carcinoma of the anal canal given its aggressiveness.http://dx.doi.org/10.1155/2012/341432
spellingShingle Joshua M. Eberhardt
Karen Brown
Shelly Lo
Suneel Nagda
Sherri Yong
Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature
Case Reports in Medicine
title Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature
title_full Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature
title_fullStr Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature
title_full_unstemmed Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature
title_short Extrapulmonary Small Cell Carcinoma of the Anal Canal: A Case Report and Review of the Literature
title_sort extrapulmonary small cell carcinoma of the anal canal a case report and review of the literature
url http://dx.doi.org/10.1155/2012/341432
work_keys_str_mv AT joshuameberhardt extrapulmonarysmallcellcarcinomaoftheanalcanalacasereportandreviewoftheliterature
AT karenbrown extrapulmonarysmallcellcarcinomaoftheanalcanalacasereportandreviewoftheliterature
AT shellylo extrapulmonarysmallcellcarcinomaoftheanalcanalacasereportandreviewoftheliterature
AT suneelnagda extrapulmonarysmallcellcarcinomaoftheanalcanalacasereportandreviewoftheliterature
AT sherriyong extrapulmonarysmallcellcarcinomaoftheanalcanalacasereportandreviewoftheliterature