Recurrent ilioinguinal lymph node metastasis from primary anal adenocarcinoma: what should we do? - A case report and review of literature.

•Anal adenocarcinoma is more common in the Asian population than previously thought•Treatment of ilioinguinal lymph node metastasis from anal canal squamous cell carcinoma has been well described, but the management for primary adenocarcinoma is less so•Groin dissection for recurrent ilioinguinal lymph node metastasis from primary anal adenocarcinoma is a reasonable approach•Medical Officer, Department of General Surgery Changi General Hospital, 2 Simei Street 3, S529889, Republic of Singapore