Gujral Dorothy M, Bhattacharyya Sanjeev, Hargreaves Peter, Middleton Gary W
St Lukes Cancer Centre, Royal Surrey County Hospital, Guildford, Surrey, UK.
J Med Case Rep. 2008 Apr 28;2:128. doi: 10.1186/1752-1947-2-128.
Metastatic tumour involvement of the anal canal is rare. Routine pathological evaluation of haemorrhoidectomy specimens has been suggested to be unhelpful and expensive. Selective rather than routine pathological evaluation of haemorrhoidectomy specimens has been recommended.
We report the case of a 69-year-old woman with metastatic colorectal carcinoma who presented with metastatic carcinoma within thrombosed haemorrhoids.
We suggest that in patients with colorectal cancer, careful examination of haemorrhoids on colonoscopy as well as histological examination of suspected haemorrhoidal tissue after surgical resection be performed to evaluate for metastasis.
肛管转移性肿瘤累及较为罕见。有人提出对痔切除术标本进行常规病理评估并无帮助且费用高昂。因此建议对痔切除术标本进行选择性而非常规病理评估。
我们报告一例69岁女性转移性结直肠癌患者,其血栓性痔内出现转移癌。
我们建议,对于结直肠癌患者,应在结肠镜检查时仔细检查痔疮,并在手术切除后对可疑痔组织进行组织学检查,以评估是否存在转移。