Ibáñez Javier, Erro José M, Aranda Francisca, Almendral María Luz, Valenti Carla, Echenique-Elizondo Miguel
Servicio de Cirugía General y Aparato Digestivo, Hospital de Zumárraga, Zumárraga, Guipúzcoa, País Vasco, Spain.
Cir Esp. 2006 Mar;79(3):184-5. doi: 10.1016/s0009-739x(06)70847-8.
We present a male patient with a perianal fistula of 30 years' duration that had been treated on several occasions. The patient presented with mucoid anal adenocarcinoma. He was treated with preoperative neoadjuvant chemotherapy (5-FU and leucovorin) and external radiation therapy plus laparoscopy-assisted abdominoperineal amputation. Mucoid adenocarcinoma on chronic perianal fistula is an infrequent process. Late diagnosis is associated with a poor prognosis.
我们报告一名患有30年肛周瘘管的男性患者，该瘘管已接受过多次治疗。患者出现黏液性肛管腺癌。他接受了术前新辅助化疗（5-氟尿嘧啶和亚叶酸钙）、外照射放疗以及腹腔镜辅助腹会阴联合切除术。慢性肛周瘘管并发黏液性腺癌是一种罕见的情况。诊断延迟与预后不良相关。
