Primary Tumors in Inguinal Hernial Sacs

Fieber, Stanley S.

doi:10.1001/archsurg.1955.01270140102018

Cited by 34 publications

(10 citation statements)

References 4 publications

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“…When cancer is found in a hernia sac it is usually an intrasaccular type [5]; ours was a saccular tumor. Carcinoma of the colon is the most common tumor associated with hernia sacs, but cancer of the prostate, pancreas, ovary, bile duct, tonsils, stomach, pericardium, skin, appendix, bladder, and thymus has been reported [2,4,6]. To our knowledge, there has been no report of carcinoma found on an enterocele sac.…”

Section: Discussionmentioning

confidence: 95%

Metastatic colon carcinoma found within an enterocele sac: a case report

et al. 2004

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The incidental finding of cancer in a hernial sac is rare, but there are many case reports in the literature. There has never been a report of carcinoma found in an enterocele sac. We present the case of a 77-year-old female with symptomatic pelvic organ prolapse who presented for reconstructive pelvic surgery and was found to have metastatic adenocarcinoma contained within an enterocele sac. Incidental diagnosis of asymptomatic carcinoma found on typically discarded tissue from surgical procedures is rare. However, routine pathologic review of all tissue removed from a patient may save a life if carcinoma is found early.

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Section: Discussionmentioning

confidence: 95%

Metastatic colon carcinoma found within an enterocele sac: a case report

et al. 2004

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“…[1][2][3][4] These tumors have presented in inguinal and umbilical hernias in the past and the first case of a malignancy to be ever reported in a hernia sac was in 1749 by a French physician Arnaud in Paris. 5 Since, then there has been only one case of a 62-year-old male reported to have a tubular adenocarcinoma from the colon to a ventral abdominal hernia.…”

Section: Discussionmentioning

confidence: 99%

“…1 Most reports document inguinal or umbilical hernia sac with metastatic adenocarcinoma from multiple organs. [1][2][3][4] To the best of our knowledge, no cases of ventral hernia sac with metastatic urothelial carcinoma have been previously reported. We herein, report a case of metastatic urothelial carcinoma in an incarcerated ventral hernia.…”

Section: Introductionmentioning

confidence: 99%

Incidental Identification of Metastatic Urothelial Carcinoma Presenting In an Incarcerated Ventral Hernia Sac

Lai¹

2015

ICPJL

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Metastatic urothelial carcinoma in an incarcerated ventral hernia is exceedingly rare. Herein, we report a case of a 52 year-old man who had multiple incarcerated ventral hernias with metastatic urothelial carcinoma. Patient with a set of large abdominal wall hernias initially presented in septic shock with small bowel obstruction complicated by perforation, for which he required emergent exploration and repair of the hernias. Grossly, the "hernia sac" specimen consisted of firm fibromembranous tissue with an infiltrating tan-white mass. Histologically, the hernia sac revealed extensive tumor infiltrates in a background of desmoplastic stroma accompanied by fibrinoid necrosis. The tumor showed nests and sheets like growth pattern with predominant squamous differentiation. Immunohistochemical analysis showed the tumor to be diffusely and strongly positive for GATA3, 34betaE12, CK5/6 and P63, focally (5%) and weakly positive for CDX2, negative for CK20, D2-40, calretinin. The morphology and immunohistochemical profile supported the diagnosis of metastatic urothelial carcinoma with squamous differentiation. The patient died two weeks postsurgery. GATA3 immunoreactivity plays an important role in distinguishing urothelial carcinoma from squamous cell carcinoma and prostate carcinoma.

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“…Nearly all reported cases have occurred in elderly males whose long-standing inguinal hernias had recently become painful or incarcerated [5,14,16]. A patient with a history of intra-abdominal malignancy who presents with a new hernia should be investigated for recurrence, as the hernia may contain metastatic tumour [7,12]. Metastatic tumour developing within a hernia sac does not result in strangulation or incarceration; however, primary intrasaccular malignancies may strangulate, as seen in both of our cases [1].…”

Section: Discussionmentioning

confidence: 99%

“…Tumours have also been described in umbilical, para-umbilical, femoral, and incisional herniae, and also in enterocoeles [3][4][5][6][7]. Colonic cancer, usually arising in the sigmoid, is the most common cancer found in any hernia [8][9][10][11], but prostate, pancreas, ovary, bile duct, tonsil, stomach, pericardium, skin, appendix, bladder and thymus malignancies have also been reported [3,[12][13][14][15]. We present two patients in whom a sigmoid carcinoma presented in a strangulated left inguinal hernia.…”

Section: Introductionmentioning

confidence: 99%

Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature

2008

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Inguinal hernia and colonic carcinoma are common surgical conditions, yet carcinoma of the colon occurring within an inguinal hernia sac is rare. Of 25 reported cases, only one was a perforated sigmoid colon carcinoma in an inguinal hernia. We report two cases of sigmoid colon carcinoma, one of which had locally perforated. Each presented within a strangulated inguinal hernia. Oncologically correct surgery in these patients presents a technical challenge.

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Primary Tumors in Inguinal Hernial Sacs

Cited by 34 publications

References 4 publications

Metastatic colon carcinoma found within an enterocele sac: a case report

Metastatic colon carcinoma found within an enterocele sac: a case report

Incidental Identification of Metastatic Urothelial Carcinoma Presenting In an Incarcerated Ventral Hernia Sac

Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature

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