TY - Jour A2 - Mantas,Dimitrios Au - Azmi,Fahmi Pramaditto Au - Rahman,Nur Afdzillah Abdul Au - Mazlan,Luqman Au - Basiron,Irmora Au - Imran,Farrah-Hani Py - 2020 da - 2020/12/19 -来自悬垂性脓肿和复杂瘘管的大型肛门粘膜腺癌SP - 1798543 VL-2020 AB - 粘液区域的骨腺癌是一种肿瘤急性,其造成治疗肿瘤学家的诊断和治疗困境。这是由于报告案件数量较少,通过缺乏明确的治疗指南进行复杂。它占所有胃肠道恶性肿瘤的2%至3%,历史上众所周知,从慢性肛肛瘘和卧腺脓肿产生。我们在此报告了一个有趣的亚洲粘膜腺癌,最初对瘘管脓肿的66岁男性初始治疗。他介绍了一个6个月的肛门区域排出增长的历史,与偶尔血液混合粪便相关的痛苦排便。来自溃疡的切口活组织检查显示粘液性腺癌。对比度增强的计算断层扫描(CT)扫描和磁共振成像(MRI)扫描显示出局部的肛周生长,其涉及内部和外部括约肌,以及可疑参与举行杆ANI / Puborectalis Sling的后部,这进一步证实结肠镜检查(见图)。对于这种罕见实体没有预设的治疗方案,他用腹腔切除术(APR)和立式直肠腹部肌皮瓣(VRAM)组织重建进行管理。 He had a turbulent postoperative period including intestinal obstruction secondary to internal herniation of bowel resulting in flap failure. The subsequent perineal wound was managed conservatively with advanced wound care and has since completely healed. SN - 2090-6900 UR - https://doi.org/10.1155/2020/1798543 DO - 10.1155/2020/1798543 JF - Case Reports in Surgery PB - Hindawi KW - ER -