Sharma Aditya, Katiyar Vivek K, Tiwary Satyendra K, Kumar Puneet, Khanna Ajay K
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND.
Cureus. 2024 Sep 1;16(9):e68417. doi: 10.7759/cureus.68417. eCollection 2024 Sep.
A recurring abscess or draining sinus overlying the sacrococcygeal area is the hallmark of the chronic, well-known condition known as sacrococcygeal pilonidal disease. It is among the most difficult surgical challenges. Rarely, recurrent illness, persistent infection, and associated inflammation result in malignant transformation, most frequently in the form of squamous cell carcinoma (SCC). We report a similar case of an 84-year-old man who presented to our outpatient clinic and had a persistent, recurring sacrococcygeal pilonidal sinus for 28 years. He had already undergone several surgical excisions for the same and now developed an ulceroproliferative growth on his right gluteal cleft since his previous resection when he first appeared.
骶尾部反复出现脓肿或引流窦是慢性、众所周知的骶尾部藏毛窦疾病的标志。它是最具挑战性的外科手术难题之一。罕见的情况下，疾病复发、持续感染和相关炎症会导致恶性转化，最常见的形式是鳞状细胞癌（SCC）。我们报告了一例类似病例，一名84岁男性患者前来我们的门诊就诊，其骶尾部藏毛窦持续复发长达28年。他此前已因同一病症接受过多次手术切除，自首次出现上次切除术后，其右臀裂处现出现了溃疡性增生。
