Open AccessAnal cancer with isolated ischial fossa lymph node metastases: A rare entity in the oligometastatic dilemma
Author(s) -
Fawzi Abuhijla,
Issa Mohamad,
Ramiz Abu-Hijlih,
Mousa Alkaldi,
Akram AlIbraheem,
Sami Khatib
Publication year - 2022
Publication title -
journal of cancer research and therapeutics/journal of cancer research and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.475
H-Index - 39
eISSN - 0973-1482
pISSN - 1998-4138
DOI - 10.4103/jcrt.jcrt_1158_19
Subject(s) - medicine , anal cancer , magnetic resonance imaging , radiology , prostate cancer , lymph node , radiation therapy , anal canal , cancer , surgery , pathology , rectum
Carcinoma of the anal canal is relatively rare cancer with a low propensity for metastasis. A literature review identifies two cases with ischial fossa metastases from anal cancer. The authors present the case of a 62-year-old male with moderately differentiated squamous cell carcinoma of the anal canal who presented with isolated ischial fossa lymph node (LN) confirmed by fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography and pelvic magnetic resonance imaging. The patient was treated with concurrent chemoradiation. Ischial fossa LN was included in the high-dose radiation volume. Posttreatment imaging showed complete clinical response. This case highlights a rare metastatic site from anal cancer treated successfully with primary chemoradiation and shows an example of tailored treatment approach of oligometastatic disease from anal cancer.