肛门腺腺癌伴局部神经内分泌表达1例
摘要
<正>患者男性,42岁,2018年6月20日主因肛门疼痛半年伴间断鲜血便3个月入院,否认大便习惯及性状改变,否认肛瘘病史,自发病以来体重无明显变化。专科查体(截石位):肛缘10点位可见1cm×0.5cm溃烂,表面不平伴肉芽状凸起增生,质脆易出血,病灶齿线附近黏膜轻度糜烂;指诊溃疡处为质韧硬肿块,肿块大致椭圆形,近心端位于齿线附近,肠腔未及其他肿物,未发现肛瘘表现。12点内
引文
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[2]Hobbs CM,Lowry MA,Owen D,et al.Anal gland carcinoma[J].Cancer,2001,92:2045-2049.
[3]Fenger C,Frisch M,Marti MC,et al.Tumors of the anal canal.In:hamilton SR,aaltonen LA,ed,World Health Organization classification of tumorsc.Pathology and genetics of tumors of the digestive system[M].Lyon:IARC Press,2000.147-155.
[4]闫爱国,廖松林,董小霞,等.肛门腺腺癌临床病理观察[J].诊断病理学杂志,2007,2:122-124.
[5]Abel ME,Chiu YS,Russell TR,et al.Adenocarcinoma of the anal glands.Results of a survey[J].Dis Colon Rectum,1993,36:383-387.
[6]Jensen SL,Shokouh-Amiri MH,Hagen K,et al.Adenocarcinoma of the anal ducts.A series of 21 cases[J].Dis Colon Rectum,1988,31:268-272.
[7]Biggs RL,Lucha PA Jr,Stoll PM.Anal duct carcinoma:report of case and a survey of the experience of the american osteopathic college of proctology[J].J Am Osteopath Assoc,2001,101:450-453.
[8]Longo WE,Vernava AM,Warde TP,et al.Rare anal canal cancers in the US veteran:patterns of disease and results of treatment[J].Am J Surg,1995,61:495-500.
[9]李力人,万德森,潘志忠,等.肛管腺癌49例的临床特点及其治疗[J].中华胃肠外科杂志,2006,5:402-404.