Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Metastatic rectal adenocarcinoma within haemorrhoids: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Metastatic rectal adenocarcinoma within haemorrhoids a case report Dorothy M Gujral Sanjeev Bhattacharyyah Peter Hargreavesf and Gary W Middleton Address St Lukes Cancer Centre Royal Surrey County Hospital Egerton Road Guildford Surrey GU2 7XX UK Email Dorothy M Gujral - gjrdor001@ Sanjeev Bhattacharyya - sanjeev144@ Peter Hargreaves - Gary W Middleton - gmiddleton@ Corresponding author tEqual contributors Published 28 April 2008 Received 2 November 2007 Journal of Medical Case Reports 2008 2 128 doi 1752-1947-2-128 Accepted 28 April 2008 This article is available from http content 2 1 128 2008 Gujral et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Metastatic tumour involvement of the anal canal is rare. Routine pathological evaluation of haemorrhoidectomy specimens has been suggested to be unhelpful and expensive. Selective rather than routine pathological evaluation of haemorrhoidectomy specimens has been recommended. Case presentation We report the case of a 69-year-old woman with metastatic colorectal carcinoma who presented with metastatic carcinoma within thrombosed haemorrhoids. Conclusion We suggest that in patients with colorectal cancer careful examination of haemorrhoids on colonoscopy as well as histological examination of suspected haemorrhoidal tissue after surgical resection be performed to evaluate for metastasis. Introduction Metastatic tumour involvement of the anal canal is rare. There have been around 200 cases of metastatic anorectal melanoma with the first case described in 1857 by Moore 1 . Other .
