Primary Cutaneous Anaplastic Large Cell Lymphoma – A Usual Malignancy with Unusual Presentation at an Uncommon Site: A Case Report

Oncology, Gastroenterology and Hepatology Reports,2018,7,1,53-55.
Published:September 2017
Type:Case Report
Author(s) affiliations:

Gunjesh Kumar Singh1, Pragya Singh2, Priya Baskaran Shanmuga1, Karthik Periasamy1, K.T Bhowmik1

1Department of Radiotherapy, VMMC & Safdarjung Hospital, New Delhi -110029, INDIA.

2Department of Pathology, VMMC & Safdarjung Hospital, New Delhi -110029, INDIA.


Malignant tumors of anal margin and perianal skin are rare, which accounts for approximately 2%-3% of all anorectal malignancies. Because of the variable presentation and pathologic similarity to benign anal lesions, the diagnosis and treatment is often delayed. We report the case of a 54-year-old Indian male who presented with non-healing anal fistula which progressed to a large chronic ulcer and was later diagnosed as anaplastic large cell lymphoma of perianal skin. Primary cutaneous anaplastic large cell lymphoma (PCALCL) of perianal area has been rarely reported, that too masquerading anal fistula is being reported for the first time.

CECT abdomen - Homogeneously enhancing mass involving anal canal, perianal skin and subcutaneous tissue.