摘要
强调肛门指诊是发现、诊断肛管癌及肛周癌的重要手段。大剂量放疗及以放疗为主,化疗、手术为辅的综合疗法是肛管癌及肛周癌的重要治疗方法。与单纯手术相比,5年生存率有所提高,并且可减少结肠造口的痛苦,改善患者的生活质量。肿瘤分期,是否有腹股沟淋巴结转移,治疗方法以及肿瘤周围组织的免疫反应对患者的预后均有影响。
13 patients with anal and perianal squamous cell cancer were reviewed. Preoperative diagnostic accordance rate was only 38%(5/13). Main method of therapy included,Mile's procedures and aduj-vant radiation and chemotherapy before or and after operation. Five -year survival rate was 31%(4/13). Anal finger examination is considered to be an important way for diagnosis. High dose radiation or combined therapy consisting of radiation,chemotherapy and operation is the choice of treatment. Compared to surgery the 5 - year survival rate was improved by combined therapy and colonostomy was avoided. Tumour stage,invasion of inguinal nodes,method of treatment and immune reaction of the tissue around tumour will influence prognasis significantly.
出处
《中国微创外科杂志》
CSCD
1998年第2期14-17,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
肛管癌
肛周癌
放疗
综合疗法
预后
Anal cancer Perianal cancer Radiation Combined therapy Prognosis
