Cellular angiofibroma arising from the rectocutaneous fistula in an adult: A case report  

作　　者：Hao-En Chen Yu-Yang Lu Ruei-Yu Su Hong-Hau Wang Chao-Yang Chen Je-Ming Hu Jung-Cheng Kang Kuan-Hsun Lin Ta-Wei Pu 

机构地区：[1]Department of Surgery,Taichung Armed Forces General Hospital,Taichung 411,Taiwan [2]Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [3]Department of Pediatrics,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [4]Department of Pathology,Tri-Service General Hospital,National Defense Medical Center,Taipei 105,Taiwan [5]Department of Pathology and Laboratory Medicine,Taoyuan Armed Forces General Hospital,Taoyuan 32551,Taiwan [6]Department of Radiology,Tri-Service General Hospital Songshan Branch,National Defense Medical Center,Taipei 105,Taiwan [7]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [8]Division of Colon and Rectal Surgery,Department of Surgery,Taiwan Adventist Hospital,Taipei 105,Taiwan [9]Division of Thoracic Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [10]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital Songshan Branch,National Defense Medical Center,Taipei 105,Taiwan

出　　处：《World Journal of Clinical Cases》2024年第10期1778-1784,共7页世界临床病例杂志

摘　　要：BACKGROUND Rectocutaneous fistulae are common.The infection originates within the anal glands and subsequently extends into adjacent regions,ultimately resulting in fistula development.Cellular angiofibroma(CAF),also known as an angiomy ofibroblastoma-like tumor,is a rare benign soft tissue neoplasm predominantly observed in the scrotum,perineum,and inguinal area in males and in the vulva in females.We describe the first documented case CAF that developed within a rectocutaneous fistula and manifested as a perineal mass.CASE SUMMARY In the outpatient setting,a 52-year-old male patient presented with a 2-year history of a growing perineal mass,accompanied by throbbing pain and minor scrotal abrasion.Physical examination revealed a soft,well-defined,non-tender mass at the left buttock that extended towards the perineum,without a visible opening.The initial assessment identified a soft tissue tumor,and the laboratory data were within normal ranges.Abdominal and pelvic computed tomography(CT)revealed swelling of the abscess cavity that was linked to a rectal cutaneous fistula,with a track-like lesion measuring 6 cm×0.7 cm in the left perineal region and attached to the left rectum.Rectoscope examination found no significant inner orifices.A left medial gluteal incision revealed a thick-walled mass,which was excised along with the extending tract,and curettage was performed.Histopathological examination confirmed CAF diagnosis.The patient achieved total resolution during follow-up assessments and did not require additional hospitalization.CONCLUSION CT imaging supports perineal lesion diagnosis and management.Perineal angiofibromas,even with a cutaneous fistula,can be excised transperineally.

关 键 词：ANGIOFIBROMA Perineal mass Rectocutaneous fistula Anorectal fistula Anal fistula Case report 

分 类 号：R739.6[医药卫生—肿瘤]