Khaniya Sudeep, Koirala Rabin, Shakya Vikal Chandra, Adhikary Shailesh, Regmi Rajendra, Pandey Sagar Raj, Agrawal Chandra Shekhar
Department of Surgery, B, P, Koirala Institute of Health Sciences, Dharan, Nepal.
Cases J. 2009 Sep 29;2:143. doi: 10.1186/1757-1626-2-143.
Tuberculosis affecting the anorectum is an uncommon extra-pulmonary form of the disease, and its association with malignancy is highly unusual.
A 35 year lady presented with lower gastrointestinal bleed, altered bowel habit and significant weight loss. On examination, she had nodular stricture in the lower rectum, with friable mucosa, bleeding easily on touch. With the diagnosis of carcinoma lower rectum, she underwent abdomino-perineal resection of the growth. The histopathological examination revealed carcinoma rectum with coexisting tuberculosis.
The aetiological association between the tuberculosis and anorectal cancer is a matter of debate. However, the treating surgeon should be aware of this association, to avoid confusion and delay in the management.
影响肛门直肠的结核病是一种罕见的肺外疾病形式，其与恶性肿瘤的关联非常罕见。
一名35岁女性出现下消化道出血、排便习惯改变和显著体重减轻。检查时，她在直肠下段有结节性狭窄，黏膜脆弱，触之易出血。诊断为直肠下段癌后，她接受了肿瘤的腹会阴切除术。组织病理学检查显示为直肠癌合并结核病。
结核病与肛门直肠癌之间的病因学关联存在争议。然而，主治外科医生应意识到这种关联，以避免管理中的混淆和延误。
