Revista espanola de enfermedades digestivas · 1995
[Mucinous adenocarcinoma of the anal region. Study of 4 cases].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Sacristán F, Iglesias P, Ortiz J A, Bouso M, Souto J, Arnal F
Аннотация
OBJECTIVE: We report 4 cases of a special anal tumor featuring a long history of inflammatory signs and fistulas in that area.
DESIGN: A retrospective study from the histologic diagnosis back to the first symptom and up to the last follow-up or death.
PATIENTS: We studied all patients with a histologic diagnosis of mucinous adenocarcinoma of the anus admitted to our hospital.
RESULTS: All of them showed a long history of anal inflammatory signs and/or fistula before diagnosis. In all cases, the tumors were mucinous adenocarcinomas with minimal cytologic atypia. Of the 4 patients, one is dead, and we have lost the follow-up of another one 13 months after surgery when he had no evidence of recurrence.
CONCLUSIONS: In every patient with a long-standing anal fistula or a recurrent anal abscess, a biopsy is mandatory to rule out an underlying low grade mucinous carcinoma and if it shows a low grade mucinous adenocarcinoma, the treatment of choice will be local resection if it is available. If not, an abdominal perineal resection showed be done without hesitation.
DESIGN: A retrospective study from the histologic diagnosis back to the first symptom and up to the last follow-up or death.
PATIENTS: We studied all patients with a histologic diagnosis of mucinous adenocarcinoma of the anus admitted to our hospital.
RESULTS: All of them showed a long history of anal inflammatory signs and/or fistula before diagnosis. In all cases, the tumors were mucinous adenocarcinomas with minimal cytologic atypia. Of the 4 patients, one is dead, and we have lost the follow-up of another one 13 months after surgery when he had no evidence of recurrence.
CONCLUSIONS: In every patient with a long-standing anal fistula or a recurrent anal abscess, a biopsy is mandatory to rule out an underlying low grade mucinous carcinoma and if it shows a low grade mucinous adenocarcinoma, the treatment of choice will be local resection if it is available. If not, an abdominal perineal resection showed be done without hesitation.