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肛管恶性肿瘤。

Malignancies of the anal canal.

机构信息

2nd Surgery Department, General Hospital of Tripolis, Tripolis, Greece.

出版信息

Tech Coloproctol. 2011 Oct;15 Suppl 1:S87-9. doi: 10.1007/s10151-011-0753-x.

DOI:10.1007/s10151-011-0753-x
PMID:21887557
Abstract

BACKGROUND

The carcinomas of the anal canal consist of truly rare clinical entities compared to the most common colorectal malignancies. Consequently, little have been reported on their natural history and course.

PURPOSE

The present study is aiming to describe the experience of our clinic with anal cancer and to clarify the incidence of the disease in the Hellenic population.

MATERIAL AND METHODS

A 5-year retrospective study was conducted. We searched all cases of patients, diagnosed with anal carcinoma in our medical center. Medical records and histological examination results were all thoroughly registered and evaluated.

RESULTS

On the whole, 60 patients were diagnosed with a malignant tumor of anal canal. Among them, 25 cases involved anal adenocarcinoma, 26 cases referred to a squamous cell carcinoma and in 5 cases, Bowen disease was identified. Two melanomas, one GIST stromal tumor and one case of Paget disease, were recognized as well.

CONCLUSIONS

It seems that in our center the frequency and prevalence of anal adenocarcinoma is increased compared to the results from international data. More studies involving larger series of patients are required in order to shed further light in the true incidence of anal cancer and it subtypes in Hellenic population.

摘要

背景

与最常见的结直肠恶性肿瘤相比,肛管癌属于真正罕见的临床实体。因此,关于其自然病史和病程的报道较少。

目的

本研究旨在描述我们诊所对肛门癌的经验,并阐明该病在希腊人群中的发病率。

材料和方法

进行了一项为期 5 年的回顾性研究。我们搜索了在我们医疗中心诊断为肛管癌的所有患者的病例。所有病历和组织学检查结果均进行了详细的登记和评估。

结果

总共诊断出 60 例肛门 canal 恶性肿瘤患者。其中,25 例为肛门腺癌,26 例为鳞状细胞癌,5 例为 Bowen 病。还发现了 2 例黑色素瘤、1 例 GIST 间质瘤和 1 例 Paget 病。

结论

在我们中心,肛门腺癌的频率和患病率似乎高于国际数据。需要进行更多涉及更大系列患者的研究,以便进一步阐明希腊人群中肛门癌及其亚型的真实发病率。

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本文引用的文献

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Anal canal malignancies: a review in an Asian population.肛管恶性肿瘤:亚洲人群中的研究综述。
Singapore Med J. 2011 Jan;52(1):9-14.
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Trends in anal cancer in Australia, 1982-2005.澳大利亚 1982-2005 年肛门癌趋势。
Vaccine. 2011 Mar 9;29(12):2322-7. doi: 10.1016/j.vaccine.2011.01.015. Epub 2011 Jan 19.
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An update on tumors of the anal canal.肛管肿瘤的最新进展。
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Malignancies of the anal margin and perianal skin.肛门边缘和肛周皮肤恶性肿瘤。
Clin Colon Rectal Surg. 2009 May;22(2):127-35. doi: 10.1055/s-0029-1223845.
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Anal neoplasms.肛门肿瘤。
Surg Clin North Am. 2010 Feb;90(1):147-61, Table of Contents. doi: 10.1016/j.suc.2009.09.008.
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A twenty-year experience with adenocarcinoma of the anal canal.肛管腺癌二十年经验
Dis Colon Rectum. 2009 Aug;52(8):1375-80. doi: 10.1007/DCR.0b013e3181a79589.
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Management of anal canal cancer.肛管癌的管理
Dis Colon Rectum. 2005 Jun;48(6):1301-15. doi: 10.1007/s10350-004-0934-z.
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Malignant tumors of the anal canal: the spectrum of disease, treatment, and outcomes.肛管恶性肿瘤:疾病谱、治疗及预后
Cancer. 1999 Apr 15;85(8):1686-93. doi: 10.1002/(sici)1097-0142(19990415)85:8<1686::aid-cncr7>3.0.co;2-7.
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