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. 2021 Mar 22;13(6):1445. doi: 10.3390/cancers13061445

Table 3.

Clinical characteristics of CD patients with SCC derived from perianal fistula.

Patient No. Stage RT CT Residual Disease 6 Months Surgery
after CT-RT
Treatment of Recurrent Disease Symptoms Cancer
Treatment
Outcome Diagnosis
1 NA Yes No No colectomy and APR No pain RT+colectomy+APR Alive 2 y NA
2 NA No No No No RT abscess Subtotal Colectomy (1968) and APR 1982 Alive 1.5 y NA
3 NA No No NA No No perianal mass Right hemicolectomy, excision of anal lesion Alive biopsy
4 NA Yes No Yes proctectomy No severe pain RT+proctectomy Died 10 mo biopsy
5 NA Yes No No No No diarrhea RT Died 2 y EUA
6 NA Yes Yes No No No anal lump, anal stricture CT+RT Alive 6 mo EUA
7 NA Yes No NA No No bleeding, perianal mass RT lost to FU biopsy
8 NA Yes Yes NA No No severe pain CT+RT Died 6 mo EUA
9 NA Yes Yes NA excision local excision persistent fistula CT+RT+excision Alive biopsy
10 NA Yes Yes NA APR No severe pain CT+RT+APR Alive biopsy
11 NA Yes Yes NA APR No severe pain CT+RT+APR Died 1.5 y biopsy
12 NA No No No No local excision perianal mass debridement,
proctectomy
Died 9 mo surgery
13 NA Yes Yes No ileostomy RT NA CT+RT+Proctectomy Alive 6 y surgery
14 NA No No NA NA NA pus discharge Debridement lost to FU biopsy
15 NA No No No No No septic shock No treatment Died biopsy
16 II Yes Yes No APR local excision pus discharge APR NA biopsy
17 IV Yes Yes NA No NA pain CT+RT+TPC Alive 26 mo surgery
18 II Yes Yes NA No NA pain CT+RT+APR Died 23 mo surgery
19 II Yes No No APR, vaginectomy, flap NA pain RT+APR Alive 37 mo biopsy
20 NA Yes Yes Yes No No severe anal stricture, pain CT+RT NA biopsy
21 NA No No No No No perianal abscess none Died 3 mo biopsy
22 NA Yes Yes NA No No asymptomatic chronic fistula CT+RT NA biopsy
23 NA Yes Yes NA No No increasing pain and drainage CT+RT NA biopsy
24 NA Yes Yes NA APR No increasing pain and drainage CT+RT+APR NA biopsy
25 NA Yes Yes NA APR No unknown CT+RT+APR NA biopsy
26 NA Yes Yes NA No No increasing pain and ulceration CT+RT NA biopsy
27 NA Yes Yes NA No No asymptomatic chronic fistula CT+RT NA biopsy
28 NA Yes Yes NA No No unknown APR+CT+RT NA biopsy
29 NA Yes Yes NA No No unknown TPC+RT+CT NA biopsy
30 NA No No NA No No increasing pain, severe sepsis No treatment Died 1 y biopsy
31 IIIB Yes Yes No APR/VRAM (for CD, no recurrence) NA perianal pain RT+CT+APR Alive 5 y biopsy
32 IIIA Yes Yes NA No CT-RT bleeding CT+RT Died 6 mo biopsy
33 I Yes Yes No No NA perianal pain CT+RT Alive 5 y biopsy
34 NA Yes Yes Yes APR NA perianal pain CT+RT+APR NA biopsy
35 IV Yes Yes Yes APR/VRAM IORT Chemotherapy perianal pain CT+RT+APR+IORT Died 6 mo biopsy
36 NA NA NA NA NA NA discharge of stool through perianal fistulas, weight loss APR, excision of perineal tumor NA biopsy

CT-RT: chemoradiation; RT: radiotherapy; CT: chemotherapy; APR: abdominal perineal resection; VRAM: right vertical rectus abdominis myocutaneous flap; IORT: intraoperative radiotherapy; mo: months; FU: follow-up.