Middle-aged male with perianal pain and bleeding P/R.
Operated for MIPH & Perianal fissure with Bx from a fissure
Bx - Squamous cell Carcinoma of anal canal after three months patient had taken 60 Gy radiotherapy.
Post-treatment patient had persistent peri anal for 3 months, Underwent internal sphincterotomy for the same!
Two months later again underwent peri anal bx
s/o: Persistence of Squamous cell ca
PET Scan: s/p Locally active disease in the perianal region.
we received the patient after all the work up Advise: Lap APR
Surgery and post-op recovery was uneventful patient discharged on POD 5.
Biopsy: s/o T2N0 Squamous cell ca
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