Carcinoma Associated With Fistula-in-Ano

Arch Surg. 1964;89(6):989-994. doi:10.1001/archsurg.1964.01320060057011.
Text Size: A A A
Published online

Although fistula-in-ano was one of the earliest diseases to affect mankind, its association with carcinoma was not reported in the medical literature until the early part of this century. This association may manifest itself in several ways: (1) a fistula may be associated with cancer elsewhere in the colon; (2) cancer, either primary or recurrent, may present as a fistula; or (3) cancer may develop in a fistula-in-ano. This paper concerns the third situation.

The development of cancer in fistulous tracts or draining sinuses has not been limited to fistula-in-ano. McAnally and Dockerty reported nine cases of carcinoma in sinuses of chronic osteomyelitis and one in a chronic empyema tract. Gillis and Lee described 34 cases in which carcinoma appeared at the site of war wounds sustained 18 to 31 years previously. A squamous-cell carcinoma arising in a pilonidal sinus which had been present for 20 years was reported by


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.