Horch R, Roosen J
Nihon Geka Hokan. 1989 Sep 1;58(5):391-7.
37 patients were treated upon carcinoma of the anal canal or anal margin between 1977 and 1989. Although combined radiochemotherapy is of increasing interest as the treatment of choice our patients who underwent radical surgery in form of abdominoperineal rectum resection only had a very good outcome. Combined multimodal therapy by radiation and chemotherapy may possibly be able to reduce the rate of necessary resections. Difficulties in finding out a relapse of disease after such treatments are discussed. The own experience with combined radio-chemotherapy is not large enough at the present time to make significant statements. Long term results have to be expected yet. Abdominoperineal rectum resection as a means of radical surgery still has its place in the spectrum therapeutic modalities of treating anal carcinoma.
1977年至1989年间，37例肛管或肛缘癌患者接受了治疗。尽管联合放化疗作为首选治疗方法越来越受到关注，但我们那些接受腹会阴直肠切除术形式的根治性手术的患者预后非常好。放疗和化疗联合的多模式治疗可能能够降低必要的切除率。讨论了在这些治疗后发现疾病复发的困难。目前，我们自身联合放化疗的经验还不够丰富，无法做出重要论断。仍有待观察长期结果。腹会阴直肠切除术作为一种根治性手术方式，在肛管癌的治疗模式中仍占有一席之地。
