Espino-Urbina L A, Espinosa-de-los-Monteros A, Dominguez-Cherit J, Chable-Montero F, Vergara-Fernandez O
Subespecialidad Cirugía de Colon y Recto INCMNSZ, México, Distrito Federal, México.
Rev Gastroenterol Mex. 2013 Jan-Mar;78(1):52-4. doi: 10.1016/j.rgmx.2012.09.002. Epub 2013 Jan 30.
The literature reports an annual incidence of 5,900 cases of anal cancer in the developed countries. These involve three different anatomic zones: carcinoma of the anal canal, perianal carcinoma (formerly known as carcinoma of the anal margin, located at a distance of less than 5cm from the anal margin), and carcinoma of the perianal skin (at a distance greater than 5cm from the anal margin). Basal cell carcinoma of the perianal region is an uncommon tumor (0.27% of all diagnosed basal cell carcinomas) that in the majority of cases is treated by resection with disease-free margins. It must be differentiated from the basaloid and epidermoid variants of carcinoma, given that it has good outcome and its spread potential is practically null.
文献报道,在发达国家,肛管癌的年发病率为5900例。这些病例涉及三个不同的解剖区域:肛管癌、肛周癌(以前称为肛缘癌,位于距肛缘小于5cm处)和肛周皮肤癌(位于距肛缘大于5cm处)。肛周区域的基底细胞癌是一种罕见肿瘤(占所有诊断出的基底细胞癌的0.27%),大多数情况下通过切缘无癌组织的切除术进行治疗。鉴于其预后良好且几乎没有扩散潜力,必须将其与癌的基底样和表皮样变体区分开来。