Luca Navarra, Valentina Abruzzese, Federico Sista, Renato Pietroletti
Department of Surgery, SS. Trinità Hospital, Via Enrico Berlinguer, 65026 Popoli, Italy.
Dipartimento di Scienze Cliniche Applicate e Biotecnologie, University of L'Aquila, Viale dell'Ospedale Edificio Delta 6, 67100 L'Aquila, Italy.
Case Rep Surg. 2015;2015:616274. doi: 10.1155/2015/616274. Epub 2015 Apr 2.
We report a case of unexpected anal squamous cells carcinoma found in hemorrhoidectomy specimen. The patient had a 3-year history of prolapsing hemorrhoids. A prolapsing hemorrhoid was present at eleven o'clock in lithotomy. Milligan-Morgan was performed and gross examination of the specimen was unremarkable. Histopathologic evaluation showed noninvasive squamous cells carcinoma. The present case report evidences the opportunity of routine histopathologic analysis of hemorrhoidal specimens particularly in case of long-standing prolapse. Questions arise in the option of those techniques where no specimens are collected or tissue is excised far from deceased area.
我们报告了一例在痔切除术标本中意外发现的肛管鳞状细胞癌病例。该患者有3年痔脱垂病史。截石位时，在11点处可见一个脱垂痔。进行了Milligan-Morgan手术，标本大体检查未见异常。组织病理学评估显示为非浸润性鳞状细胞癌。本病例报告证明了对痔标本进行常规组织病理学分析的必要性，特别是在长期脱垂的情况下。对于那些未采集标本或切除组织远离病变区域的技术选择，也引发了一些问题。
