慢性肛瘘癌变诊疗分析

Canceration of chronic anal fistula

目的探析慢性肛瘘癌变的临床病理特征。方法以1例典型病例进行分析,并回顾性总结文献报道的19例诊治经验。结果反复发作的慢性炎症刺激是肛瘘癌变的主要诱因。结论肛瘘继发癌变,病程发展慢,易被漏诊。应及时对可疑、复杂肛瘘患者行组织病理学检查。

Objective To comprehend the clinical pathological characters of carcinomatous changes in chronic anal fistula. Methods One typical case of chronic anal fistula with carcinomatous changes treated in our department was analyzed, and the diagnostic and therapeutic experiences from nineteen cases were reviewed. Result Stimuli by recurrent chronic inflammation were the primary motivation for canceration of anus fistula. Conclusion Carcinomatous changes in chronic anal fistula grow slowly and can easily be neglected, so they should be timely determined by histopathological examination.