Waugh D E
Surg Clin North Am. 1986 Aug;66(4):841-4. doi: 10.1016/s0039-6109(16)43995-2.
Perianal carcinomas must be segregated from anal canal carcinomas, which occur above the anal verge. Perianal malignancies are managed as are skin malignancies elsewhere on the body. Squamous cell carcinomas of the anal canal less than 2 cm in diameter may be treated by local excision. Other epidermoid anal canal carcinomas are best treated with either radiation therapy or a combination of chemotherapy and radiation followed by abdominoperineal resection for those patients with residual tumor on biopsy.
肛周癌必须与发生在肛管边缘以上的肛管癌区分开来。肛周恶性肿瘤的处理方式与身体其他部位的皮肤恶性肿瘤相同。直径小于2厘米的肛管鳞状细胞癌可通过局部切除进行治疗。其他表皮样肛管癌最好采用放射治疗，或化疗与放疗联合治疗，对于活检有残留肿瘤的患者，随后进行腹会阴切除术。
