原发性肛周黏液腺癌一例并文献复习

Primary perianal mucinous adenocarcinoma:a case report and literature review

目的探讨如何在临床上正确诊断肛周黏液腺癌,提高医务工作者对原发性肛周黏液腺癌的认识和临床诊治水平,降低其远期并发症及死亡率。方法对海南医学院第一附属医院普外科2018年2月份收治的1例原发性肛周黏液腺癌的临床资料进行分析。结果以长期反复肛瘘为表现,无其他特殊表现。病理学提示:镜下可见充满黏液的囊腔,可见异型的黏液上皮细胞。结论早期诊断及手术治疗可取得较好的预后,该疾病误诊率高,应加大对其重视,对于该类疾病常规行病理学检查,提高其诊断率。

Objective To explore how to correctly diagnose perianal mucinous adenocarcinoma in clinical practice, to improve the understanding and clinical diagnosis and treatment of primary perianal mucinous adenocarcinoma by medical workers, and to reduce their long-term complications and mortality. Methods The clinical data of a case of primary perianal mucinous adenocarcinoma admitted to the First Affiliated Hospital of Hainan Medical University in February 2018 were analyzed. Results The disease manifested as long-term repeated anal fistula, without any other special manifestations. Pathological results suggested that the mucous cyst can be seen under the microscope, and the abnormal mucous epithelial cells can be seen. Conclusion Early diagnosis and surgical treatment may get a better prognosis. The disease has a high rate of misdiagnosis and should be paid more attention to. Routine pathological examination for this kind of disease can improve the diagnosis rate.