Nose Yohei, Murata Kohei, Kagawa Yoshinori, Sakamato Takuya, Naito Atsushi, Murakami Kohei, Katsura Yoshiteru, Ohmura Yoshiaki, Takeno Atsushi, Nakatsuka Shinichi, Takeda Yutaka, Kato Takeshi, Tamura Shigeyuki
Dept. of Surgery, Kansai Rosai Hospital.
Gan To Kagaku Ryoho. 2018 Mar;45(3):545-547.
A 69-year-old man was admitted for the growing anal tumor and referred to our hospital. The tumor was about 40mm in size, and by biopsy, he was diagnosed the adenocarcinoma. Based on this diagnosis, abdominoperinealresection and edge resection were performed. Histopathologicalfindings showed mucinous carcinoma originating from analgl and with pagetoid spread. Postoperative chemotherapy was not performed, but 1 year 6 months after the surgery, inguinall ymph node recurrence was found, and lymph node dissection was performed. One year after the operation, recurrence was not found.
一名69岁男性因肛门肿瘤增大入院并转诊至我院。肿瘤大小约40mm，经活检诊断为腺癌。基于该诊断，进行了腹会阴联合切除术和边缘切除术。组织病理学检查结果显示为起源于肛管的黏液癌并伴有派杰样扩散。未进行术后化疗，但术后1年6个月发现腹股沟淋巴结复发，遂进行了淋巴结清扫术。术后1年未发现复发。
