摘要
目的 更加全面地了解一穴肛原癌 (cloacogeniccancer)。方法 回顾性分析 195 8年～ 1997年收治的 6例一穴肛原癌的病例资料。结果 一穴肛原癌分别占肛管直肠癌和肛管癌的 0 .3 %和 5 .8% ;女性多见 ,平均发病年龄 5 8.1岁 ;临床和影像学检查无特异性表现 ,组织病理学检查可明确诊断 ;PTNM分期 :Ⅱ期 1例 ,Ⅲ期 3例 ,Ⅳ期 2例 ;以手术加放疗为主的治疗后 1,3 ,5年生存率分别为 83 .3 % ,33 .3 %和 0 %。结论 一穴肛原癌是一少见的肛管癌 ;须靠组织病理学确诊 ;以手术治疗为主的治疗效果不佳 ,早期诊断和以放疗或放疗加手术为主的治疗可获得较好的治疗效果。
Objective To have a better understanding of cloacogenic cancers of the anal canal.Methods The materials of 6 patients suffered from cloacogenic cancers of the anal canal in 1958～1997 were retrospectively reviewed.Results The incidence of the cloacogenic cancers of the anal canal was 0.3% for ano rectal carcinoma and 5.8% for anal canal carcinoma;Female was more freguently seen;the onset age was 54.1;Clinic manifestations were non specific and histopathological examination could determine the diagnosis;PTNM classification were in stage Ⅱ(1 case),stage Ⅲ (3 case)and stage Ⅳ (2 case);1 ,3 ,5 year survival rate treated by surgery and radiotherapy are 83.3%,33.3% and 0% respectively.Conclusions Cloacogenic cancers of the anal canal is rarely encountered,whose dignostic method is purely by histopathological test.Early diagnosis and radiotherapy or combined radiotherapy with surgery may be benefitial. [
出处
《中国肿瘤临床与康复》
2000年第5期56-57,共2页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
一穴肛原癌
诊断
治疗
预后
cloacogenic cancer
diagnosis
treatment
prognosis
