Carcinomatous degeneration of pilonidal cyst with sacrum destruction and invasion of the rectum

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dc.TypeArticlept_BR
dc.contributor.authorNunes, Luiz Fernando
dc.contributor.authorVasconcelos, Roberto Andre Torres de
dc.contributor.authorCastilho, Juliana
dc.contributor.authorNoguera, Washington Silva
dc.contributor.authorCastro Neto, Antônio Kneipp Pitta de
dc.contributor.authorCajaraville, Flávio
dc.contributor.authorRezende, José Francisco Neto
dc.date.accessioned2022-02-23T18:41:09Z
dc.date.available2022-02-23T18:41:09Z
dc.date.issued2013
dc.descriptionp. 59-62.: il. color.
dc.description.abstractMalignant degeneration of pilonidal cysts is rare. The most common histologic type is the squamous cell carcinoma, triggered by the chronic inflammatory process. The growth of the lesion is typically slow. The diagnosis must be early and the appropriate treatment is ample surgical resection, including the presacral fascia. In some cases, as the present one, the diagnosis is made at a stage when the disease has progressed and invaded adjacent structures. In these cases the surgery involves multiple organ resection. We report the case of a patient with carcinomatous degeneration of pilonidal cyst, with bulky disease that extended up to the wall of the rec tum. The treatment was extended resection, sacrectomy and abominoperineal resection of the rectosigmoid with permanent colostomy.
dc.description.abstractenA degeneração maligna do cisto pilonidal é rara. O tipo histológico mais freqüente é o carcinoma epi dermóide e tem como fator desencadeante o processo inflamatório crônico. O tumor é de crescimento lento. O diagnóstico deve ser precoce e o tratamento cirúrgico adequado é a ressecção ampla incluindo a fáscia pré-sacral. Em alguns casos, como o que apresentamos, o diagnóstico é feito numa fase em que a doença progrediu e inva diu as estruturas adjacentes. Nestes a cirurgia necessária envolve a ressecção multiorgânica. Apresentamos paciente com degeneração carcinomatosa do cisto pilonidal, com doença volumosa que se estendia até a parede do reto. O tratamento realizado foi ressecção alargada, sacralectomia e ressecção abominoperineal do retossig móide com colostomia definitiva.
dc.identifier.citationVASCONCELOS, Roberto Andre Torres de et al. Carcinomatous degeneration of pilonidal cyst with sacrum destruction and invasion of the rectum. An Bras Dermatol., v. 88, n. 6, supl 1, p. 59-62, 2013.
dc.identifier.issn1806-4841
dc.identifier.urihttp://sr-vmlxaph03:8080/jspui/handle/123456789/5249
dc.publisherAn Bras Dermatol.pt_BR
dc.subjectCarcinomapt_BR
dc.subjectCélulas Epiteliaispt_BR
dc.subjectEpithelial Cellspt_BR
dc.subjectCélulas Epitelialespt_BR
dc.subjectNeoplasiaspt_BR
dc.subjectNeoplasmspt_BR
dc.subjectSeio Pilonidalpt_BR
dc.subjectPilonidal Sinuspt_BR
dc.subjectSeno Pilonidalpt_BR
dc.subjectPelept_BR
dc.subjectSkinpt_BR
dc.subjectPielpt_BR
dc.titleCarcinomatous degeneration of pilonidal cyst with sacrum destruction and invasion of the rectumpt_BR
dc.title.alternativeDegeneração carcinomatosa do cisto pilonidal com destruição do sacro e invasão da parede do retopt_BR

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