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Benign Tumors of the Anorectum

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Book cover Benign Anorectal Disorders

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Abstract

The anorectal region is a common site for tumors and tumor-like conditions, some of which are extremely rare. Although the tumors described in this chapter are benign, some have potential to turn malignant. Because of their clinical appearance and location, sometimes they may be mistaken for malignant lesions. These tumors frequently pose diagnostic challenges and dilemmas in planning treatment. A thorough knowledge of the diverse clinical presentations and variations in pathology is essential for planning treatment and surgery.

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Bibliography

  • Alvear DT. Localized lymphoid hyperplasia: an unusual cause of rectal bleeding. Contemp Surg. 1984;25:29.

    Google Scholar 

  • Amarapurkar D, Jadliwala M, Punamiya S, et al. Cavernous hemangiomas of the rectum: report of three cases. Am J Gastroenterol. 1998;93:1357–9.

    Article  CAS  PubMed  Google Scholar 

  • Bailey HR, Ott MT, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum. 1994;37:747–53.

    Article  CAS  PubMed  Google Scholar 

  • Bauer VP, Papaconstantinou HT. Management of serrated adenomas and hyperplastic polyps. Clin Colon Rectal Surg. 2008;21:273–9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Candela F, Serrano P, Arriero JM, et al. Perianal disease of tuberculous origin: report of a case and review of the literature. Dis Colon Rectum. 1999;42:110–2.

    Article  CAS  PubMed  Google Scholar 

  • Casdesus D. Surgical resection of rectal adenoma: a rapid review. World J Gastroenterol. 2009;15(31):3851–4.

    Article  Google Scholar 

  • Chaimoff C, Lurie H. Hemangioma of the rectum: clinical appearance and treatment. Dis Colon Rectum. 1978;21:295–6.

    Article  CAS  PubMed  Google Scholar 

  • Chan TL, Zhao W, Leung SY, et al. BRAF and KRAS mutations in colorectal hyperplastic polyps and serrated adenomas. Cancer Res. 2003;63:4878–81.

    CAS  PubMed  Google Scholar 

  • Chisholm AJ, Hillkowitz P. Lymphangioma of the rectum. Am J Surg. 1932;17:281–2.

    Article  Google Scholar 

  • Cho SD, Herzig DO, Douthit MA. Treatment strategies and outcome of rectal villous adenoma from a single centre experience. Arch Surg. 2008;143(9):866–72.

    Article  PubMed  Google Scholar 

  • Chung CC, Choi CL, Kwok SP, et al. Anal and perianal tuberculosis: a report of three cases in 10 years. J R Coll Surg Edinb. 1997;42:189–90.

    CAS  PubMed  Google Scholar 

  • Corman ML, Haggitt RC. Lymphangioma of the rectum: report of a case. Dis Colon Rectum. 1973;16:524–9.

    Article  CAS  PubMed  Google Scholar 

  • Cornes JS. Multiple lymphomatous polyposis of the gastrointestinal tract. Cancer. 1961;14:249–57.

    Article  CAS  PubMed  Google Scholar 

  • Daum O, Hatlova J, Mandys V, et al. Comparison of morphological, immunohistochemical, and molecular genetic features of inflammatory fibroid polyps (Vanek’s tumors). Virchows Arch. 2010;456:491–7.

    Article  CAS  PubMed  Google Scholar 

  • Dodd GD, Rutledge R, Wallace S. Postoperative pelvic lymphocysts. Am J Roentgenol Radium Ther Nucl Med. 1970;108:312–23.

    Article  CAS  PubMed  Google Scholar 

  • Dougherty LS, Hull T. Perineal endometriosis with anal sphincter involvement: report of a case. Dis Colon Rectum. 2000;43:1157–60.

    Article  CAS  PubMed  Google Scholar 

  • Eslami-Varzaneh F, Washington K, Robert ME, et al. Benign fibroblastic polyps of the colon: a histologic, immunohistochemical, and ultrastructural study. Am J Surg Pathol. 2004;28:374–8.

    Article  PubMed  Google Scholar 

  • Estrada RG, Spjut HJ. Hyperplastic polyps of the large bowel. Am J Surg Pathol. 1980;4:127–33.

    Article  CAS  PubMed  Google Scholar 

  • Gillespie PE, Chambers TJ, Chan KW, et al. Colonic adenomas-a colonoscopy survey. Gut. 1979 Mar; 20(3):240–245.

    Google Scholar 

  • Goldstein NS, Bhanot P, Odish E, et al. Hyperplastic-like colon polyps that preceded microsatellite-unstable adenocarcinomas. Am J Clin Pathol. 2003;119:778–96.

    Article  PubMed  Google Scholar 

  • Gould SR, Handley AJ, Barnardo DE. Rectal and gastric involvement in a case of sarcoidosis. Gut. 1973;14:971–3.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Gowda KK, Sinha SK, Chhabra P, et al. Barium granuloma mimicking carcinoma rectum: an unusual presentation. Indian J Pathol Microbiol. 2014;57:506–7.

    PubMed  Google Scholar 

  • Gupta PJ. Ano-perianal tuberculosis–solving a clinical dilemma. Afr Health Sci. 2005;5:345–7.

    PubMed Central  CAS  PubMed  Google Scholar 

  • Hanson IM, Armstrong GR. Anal intraepithelial neoplasia in an inflammatory cloacogenic polyp. J Clin Pathol. 1999;52:393–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Harvey NT, Ruszkiewicz A. Serrated neoplasia of the colorectum. World J Gastroenterol. 2007;13:3792–8.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Hasegawa T, Yang P, Kagawa N, et al. CD34 expression by inflammatory fibroid polyps of the stomach. Mod Pathol. 1997;10:451–6.

    CAS  PubMed  Google Scholar 

  • Helwig EB, Ranier A. Inflammatory fibroid polyps of the stomach. Surg Gynecol Obstet. 1953;96:335–67.

    CAS  PubMed  Google Scholar 

  • Hervías D, Turrión JP, Herrera M, et al. Diffuse cavernous hemangioma of the rectum: an atypical cause of rectal bleeding. Rev Esp Enferm Dig. 2004;96:346–52.

    Article  PubMed  Google Scholar 

  • Hsu A, Khachikyan I, Stratton P. Invasive and Noninvasive Methods for the Diagnosis of Endometriosis. Clinical Obstetrics and Gynecology. 2010;53(2):413–419.

    Google Scholar 

  • Ibn MHK, Ait LS, Toughrai I, et al. Perianal tuberculosis: a case report and a review of the literature. Case Rep Infect Dis. 2012;2012:852763.

    Google Scholar 

  • Jensen SL, Sjølin KE. Kerato acanthoma of the anus. Report of three cases. Dis Colon Rectum. 1985;28:743–5.

    Article  CAS  PubMed  Google Scholar 

  • Jin JS, Wu CS, Yeh CH, et al. Inflammatory fibroid polyp of rectum mimicking rectal cancer. Kaohsiung J Med Sci. 2013;29:460–3.

    Article  PubMed  Google Scholar 

  • Kim Y, Kim WH. Inflammatory fibroid polyps of gastrointestinal tract. Evolution of histologic patterns. Am J ClinPathol. 1988;89(6):721–7.

    Google Scholar 

  • Konda J, Ruth M, Sassaris M, et al. Sarcoidosis of the stomach and rectum. Am J Gastroenterol. 1980;73:516–8.

    CAS  PubMed  Google Scholar 

  • Kovalcik PJ, Simstein NL, Cross GH. Benign neurilemmoma manifesting as a presacral (retrorectal) mass: report of a case. Dis Colon Rectum. 1978;21:199–202.

    Article  CAS  PubMed  Google Scholar 

  • Kudo S, Hirota S, Nakajima T, et al. Colorectal tumours and pit pattern. J Clin Pathol. 1994;47:880–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Küpker W, Felberbaum RE, Krapp M, et al. Use of GnRH antagonists in the treatment of endometriosis. Reprod Biomed Online. 2002;5:12–6.

    Article  PubMed  Google Scholar 

  • Lewis Jr JW, Kerstein MD, Koss N. Barium granuloma of the rectum: an uncommon complication of barium enema. Ann Surg. 1975;181:418–23.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lobert PF, Appelman HD. Inflammatory cloacogenic polyp. A unique inflammatory lesion of the anal transitional zone. Am J Surg Pathol. 1981;5:761–6.

    Article  CAS  PubMed  Google Scholar 

  • Longacre TA, Fenoglio-Preiser CM. Mixed hyperplastic adenomatous polyps/serrated adenomas. A distinct form of colorectal neoplasia. Am J Surg Pathol. 1990;14:524–37.

    Article  CAS  PubMed  Google Scholar 

  • Longo WE, Touloukian RJ, West AB, et al. Malignant potential of juvenile polyposis coli. Report of a case and review of the literature. Dis Colon Rectum. 1990;33:980–4.

    Article  CAS  PubMed  Google Scholar 

  • Lu FI, van Niekerk de W, Owen D, et al. Longitudinal outcome study of sessile serrated adenomas of the colorectum: an increased risk for subsequent right-sided colorectal carcinoma. Am J Surg Pathol. 2010;34:927–34.

    Article  PubMed  Google Scholar 

  • Luis A, Rodriguiz G, Alvarez CH. Reduced risk of colorectal cancer among long term users of Aspirin and Nonaspirin Nonsteroidal anti inflammatory drugs. Epidemiology. 2001;12(1):88–93.

    Article  Google Scholar 

  • Maciejewski A, Lange D, Włoch J. Case report of schwannoma of the rectum – clinical and pathological contribution. Med Sci Monit. 2000;6:779–82.

    CAS  PubMed  Google Scholar 

  • Magtibay PM, Heppell J, Leslie KO. Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female: report of a case. Dis Colon Rectum. 2001;44:1530–3.

    Article  CAS  PubMed  Google Scholar 

  • Manley KA, Skyring AP. Some heritable causes of gastrointestinal disease. Special reference to hemorrhage. Arch Intern Med. 1961;107:182–203.

    Article  CAS  PubMed  Google Scholar 

  • Mathialagan R, Turner MJ, Gorard DA. Inflammatory cloacogenic polyp mimicking anorectal malignancy. Eur J Gastroenterol Hepatol. 2000;12:247–50.

    Article  CAS  PubMed  Google Scholar 

  • Mazier WP, Sun KM, Robertson WG. Oil-induced granuloma (eleoma) of the rectum: report of four cases. Dis Colon Rectum. 1978;21:291–4.

    Article  Google Scholar 

  • Mesiya S, Ancha HB, Ancha H, et al. Sporadic colonic hamartomas in adults: a retrospective study. Gastrointest Endosc. 2005;62:886–91.

    Article  PubMed  Google Scholar 

  • Miettinen M, Shekitka KM, Sobin LH. Schwannomas in the colon and rectum: a clinicopathologic and immunohistochemical study of 20 cases. Am J Surg Pathol. 2001;25:846–55.

    Article  CAS  PubMed  Google Scholar 

  • Minvielle L, Luis M, Vargas de la Cruz J. Endometriosis of the anal canal: Presentation of a case. Diseases of the Colon & Rectum 1968;11(1):32–35.

    Google Scholar 

  • Nijhawan S, Rai RR, Mathur A, et al. Rectal lipoma treated by endoscopic polypectomy. Indian J Gastroenterol. 1993;12:23.

    CAS  PubMed  Google Scholar 

  • O’Brien MJ, Winawer SJ, Zauber AG, et al. Patient and polyp characteristics associated with high-grade dysplasia in colorectal adenomas. Gastroenterology. 1990;98:371–9.

    PubMed  Google Scholar 

  • Parfitt JR, Shepherd NA. Polypoid mucosal prolapse complicating low rectal adenomas: beware the inflammatory cloacogenic polyp! Histopathology. 2008;53:91–6.

    Article  CAS  PubMed  Google Scholar 

  • Park YB, Cheung DY, Kim JI, et al. A large inflammatory fibroid polyp in the sigmoid colon treated by endoscopic resection. Intern Med. 2007;46:1647–9.

    Article  PubMed  Google Scholar 

  • Pinsk I, Dukhno O, Ovnat A, et al. Gastrointestinal complications of von Recklinghausen’s disease: two case reports and a review of the literature. Scand J Gastroenterol. 2003;38:1275–8.

    Article  CAS  PubMed  Google Scholar 

  • Poulos JE, Presti ME, Phillips N, et al. Presentation and management of lymphatic cyst of the colon: report of a case. Dis Colon Rectum. 1997;40:366–9.

    Article  CAS  PubMed  Google Scholar 

  • Prystowsky JB, Stryker SJ, Ujiki GT, et al. Gastrointestinal endometriosis. Incidence and indications for resection. Arch Surg. 1988;123:855–8.

    Article  CAS  PubMed  Google Scholar 

  • Richardson JD. Vascular lesions of the intestines. Am J Surg. 1991;161:284–93.

    Article  CAS  PubMed  Google Scholar 

  • Rickert RR, Auerbach O, Garfinkel L, et al. Adenomatous lesions of the large bowel: an autopsy survey. Cancer. 1979;43:1847–57.

    Article  CAS  PubMed  Google Scholar 

  • Rodriguez DI, Drehner DM, Beck DE, et al. Colonic lipoma as a source of massive hemorrhage. Report of a case. Dis Colon Rectum. 1990;33:977–9.

    Article  CAS  PubMed  Google Scholar 

  • Rossini L, Ribeiro P, Rodrigues F et al. Transrectal ultrasound - Techniques and outcomes in the management of intestinal endometriosis. Endoscopic Ultrasound. 2012;1(1):23.

    Google Scholar 

  • Schildhaus HU, Merkelbach-Bruse S, Binot E, et al. Inflammatory fibroid polyp: from Vanek’s “submucosal granuloma” to the concept of submucosal mesenchymal neoplasia. Pathologe. 2010;31:109–14.

    Article  PubMed  Google Scholar 

  • Serra J, Ruiz M, Lloveras B, et al. Surgical outlook regarding leiomyoma of the rectum: report of three cases. Dis Colon Rectum. 1989;32:884–7.

    Article  CAS  PubMed  Google Scholar 

  • Siegelman ES, Oliver ER. MR imaging of endometriosis: ten imaging pearls. Radiographics. 2012;32:1675–91.

    Article  PubMed  Google Scholar 

  • Symmers D. Lymphoid disease: Hodgkin’s granuloma, giant follicular lymphadenopathy, lymphoid leukemia, lymphosarcoma and gastrointestinal pseudoleukemia. Arch Pathol (Chic). 1948;45:73–131.

    CAS  Google Scholar 

  • Tan TCF, Wang JY, Cheung YC, et al. Diffuse cavernous hemangioma of the rectum complicated by invasion of pelvic structure. Report of two cases. Dis Colon Rectum. 1998;41:1062–6.

    Article  CAS  PubMed  Google Scholar 

  • Tobi M, Kobrin I, Ariel I. Rectal involvement in sarcoidosis. Dis Colon Rectum. 1982;25:491–3.

    Article  CAS  PubMed  Google Scholar 

  • Torlakovic E, Snover DC. Serrated adenomatous polyposis in humans. Gastroenterology. 1996;110:748–55.

    Article  CAS  PubMed  Google Scholar 

  • Torlakovic E, Skovlund E, Snover DC, et al. Morphologic reappraisal of serrated colorectal polyps. Am J Surg Pathol. 2003;27:65–81.

    Article  PubMed  Google Scholar 

  • Urbach DR, Reedijk M, Richard CS, et al. Bowel resection for intestinal endometriosis. Dis Colon Rectum. 1998;41:1158–64.

    Article  CAS  PubMed  Google Scholar 

  • Vanek J. Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol. 1949;25:397–411.

    PubMed Central  CAS  PubMed  Google Scholar 

  • Vorobyov GI, Odaryuk TS, Kapuller LL, et al. Surgical treatment of benign myomatous rectal tumors. Dis Colon Rectum. 1992;35:328–31.

    Article  CAS  PubMed  Google Scholar 

  • Wang HT, Gao XH, Fu CG, et al. Diagnosis and treatment of diffuse cavernous hemangioma of the rectum: report of 17 cases. World J Surg. 2010;34:2477–86.

    Article  PubMed  Google Scholar 

  • Yadoo S, Nathan P. Fibroma of rectum simulating malignant tumor. Case report. Am J Proctol. 1971;22:105–7.

    CAS  PubMed  Google Scholar 

  • Yanagida T, Oya M, Iwase N, et al. Rectal submucosal tumor-like lesion originating from intestinal tuberculosis. J Gastroenterol. 1997;32:822–5.

    Article  CAS  PubMed  Google Scholar 

  • Zurkirchen MA, Leutenegger A. Submucous lipoma of the colon–report of 2 cases. Swiss Surg. 1998;4:156–7.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Sri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad, 580009, Karnataka, India

    Rajshekar Mohan

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  1. Rajshekar Mohan
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Correspondence to Rajshekar Mohan .

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Editors and Affiliations

  1. Colorectal surgery, Sher-i-Kashmir Inst of Medical Sciences , Srinagar, Jammu and Kashmir, India

    Nisar Ahmad Chowdri

  2. Colorectal surgery, Sher-i-Kashmir Inst of Medical Sciences, Srinagar, Jammu and Kashmir, India

    Fazl Q. Parray

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Mohan, R. (2016). Benign Tumors of the Anorectum. In: Chowdri, N., Parray, F. (eds) Benign Anorectal Disorders. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2589-8_15

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  • DOI: https://doi.org/10.1007/978-81-322-2589-8_15

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