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目的 更加全面地了解一穴肛原癌 (cloacogeniccancer)。方法 回顾性分析 195 8年～ 1997年收治的 6例一穴肛原癌的病例资料。结果 一穴肛原癌分别占肛管直肠癌和肛管癌的 0 .3 %和 5 .8% ;女性多见 ,平均发病年龄 5 8.1岁 ;临床和影像学检查无特异性表现 ,组织病理学检查可明确诊断 ;PTNM分期 :Ⅱ期 1例 ,Ⅲ期 3例 ,Ⅳ期 2例 ;以手术加放疗为主的治疗后 1,3 ,5年生存率分别为 83 .3 % ,33 .3 %和 0 %。结论 一穴肛原癌是一少见的肛管癌 ;须靠组织病理学确诊 ;以手术治疗为主的治疗效果不佳 ,早期诊断和以放疗或放疗加手术为主的治疗可获得较好的治疗效果。
Objective To understand more fully the cloacogenic cancer. Methods A retrospective analysis was performed on the data of 6 cases of one-step anorectal cancer treated from 195 to 1997. Results One-anal anal cancer accounted for 0.3% and 5.8% of anorectal and anal canal cancer, respectively; it was more common in women, with an average age of 58.1 years; no specific clinical and imaging findings, histopathology Physical examination can confirm the diagnosis; PTNM stage: 1 in stage II, 3 in stage III, and 2 in stage IV; the 1, 3, and 5 year survival rates after surgery and radiotherapy were 83. 3%, 33. 3% and 0 %. Conclusion One-step anal cancer is a rare anal canal cancer; it must be diagnosed by histopathology; the treatment based on surgical treatment is not effective, and early diagnosis and treatment based on radiotherapy or radiotherapy plus surgery can get better results. treatment effect.