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肛门表皮样癌。治疗观念的转变。

Epidermoid cancers of the anus. Changes in therapeutic ideas.

作者信息

Eschwege F, Lasser P, Rougier P

出版信息

Ann Gastroenterol Hepatol (Paris). 1986 Nov;22(6):341-5.

PMID:3813477
Abstract

Under this term, the authors discuss cancers of the anal canal. Cancers of the edge of the anus are skin cancers whose treatment will not be discussed here. Cancers of the anal canal are rare and are much more frequently found in women than in men. They are more or less differentiated epidermoid cancers. The therapeutic problems raised: cure a cancer with a loco-regional evolution beginning in the mucous lining of the anal canal and able to spread throughout the pelvic cavity; treatment should be total (on the tumor and ganglia) and conservative; treatment should avoid major complications such as necroses, fistulas, incontinence; it will often be carried out in elderly patients in poor general condition, poorly supporting lengthy treatments, hospitalization and anaesthesia. The therapeutic possibilities; two major therapeutic techniques possible, radiotherapy and surgery.

摘要

在此术语下,作者们讨论了肛管癌。肛门边缘的癌症属于皮肤癌,其治疗方法在此不予讨论。肛管癌较为罕见,在女性中比在男性中更常见。它们或多或少是分化型表皮样癌。所提出的治疗问题:治愈一种起源于肛管黏膜、具有局部区域进展且能够扩散至整个盆腔的癌症;治疗应是彻底的(针对肿瘤和淋巴结)且保守;治疗应避免诸如坏死、瘘管、失禁等严重并发症;治疗通常会在全身状况较差、无法耐受长时间治疗、住院和麻醉的老年患者中进行。治疗可能性;有两种主要的治疗技术可行,即放疗和手术。

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