Anal canal carcinoma – case report
Journal Title: Nowa Medycyna - Year 2015, Vol 22, Issue 3
Abstract
Tumors of anus are rare tumors of the gastrointestinal tract. Anatomically the analcanal is a structure with a length of 3-5 centimeters. Histopathological diagnosisputs out after taking a biopsy of the tumor made during anoscopy. The most common histological type of cancer of the anal canal is squamous cell carcinoma. In otherinvasive anal canal cancer are adenocarcinoma, small cell, mucinous adenocarcinomaand undifferentiated carcinoma. The stage of the tumor is evaluated based on imaging studies. The treatment of choice for squamous cell carcinoma of the anal canal isa chemoradiotherapy. Any surgery can be done after previous treatment combinationor as part of life-saving therapy after failure of chemoradiotherapy. The treatmentof choice adenocarcinoma of the anal canal is abdominoperineal resection of therectum and radiotherapy are used under the same conditions as adenocarcinoma ofthe rectum. Enlarged lymph nodes seen during palpation and imaging tests should beverified by histopathology – necessary to perform a fine needle aspiration biopsy oropen surgical biopsy. The revised metastatic inguinal lymph nodes, inguinal lymphadenectomy should be performed. Due to the necessity of combination therapy ofcancers of the anal canal, their treatment should be reserved only for highly specialized cancer centers.In this article the author presents the case of 55-year-old man with cancer of the analcanal. The article presents recommendations for the treatment of anal canal cancerin the light of current knowledge.
Authors and Affiliations
Konrad Wroński
Powikłania proktologiczne u pacjentów leczonych z powodu raka prostaty
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