Cortese A F
Cancer. 1975 Nov;36(5):1869-75. doi: 10.1002/1097-0142(197511)36:5<1869::aid-cncr2820360544>3.0.co;2-2.
The incidence of malignancy of the anus is rare when compared to colorectal cancer. At The New York Hospital-Cornell Medical Center 43 patients with anal cancer were seen since 1932. Five-year survival for patients treated by local excision, abdominal-perineal resecion, and abdominal perineal resection with associated inguinofemoral groin node dissection was 43%, 66%, and 33%, respectively. Therapy should be guided by location, size, and depth of the local lesion, as well as clinical node status. In general, local excision should be reserved for the most minute lesion. Groin dissection should be carried out when nodes are clinically diseased.
与结直肠癌相比,肛门恶性肿瘤的发病率较低。自1932年以来,纽约医院-康奈尔医学中心共收治了43例肛门癌患者。采用局部切除、腹会阴联合切除术以及腹会阴联合切除术加腹股沟股淋巴结清扫术治疗的患者,其5年生存率分别为43%、66%和33%。治疗应根据局部病变的位置、大小和深度以及临床淋巴结状况来指导。一般来说,局部切除应仅用于极小的病变。当临床上发现淋巴结病变时,应进行腹股沟清扫术。