肛門周囲膿瘍を主訴として受診した直腸癌の4例

概要

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Of 81 cancers of the lower rectum, 4 cases (4.9 %) were associated with perianal abscess. Their chief complaints were those of perianal abscess, that is, pain, redness and swelling around the anus, systemic fever and leucocytosis.<BR>All cases underwent a curative Miles' operation, which was combined with hysterectomy, oophorectomy and resection of the posterior wall of the vagina in 2 cases. Nevertheless, in 3 cases, local recurrence of cancer developed within one year after the operation and death resulted. Only one remainder has been good without recurrence, for whom Miles' operation and intraoperative pelvic hyperthermochemotherapy were performed.<BR>Thus, patients with rectal carcinoma which caused perianal abscess, even if its incidence is low, may be said as a high-risk group of postoperative local recurrence. So, it seems necessary that more wide incision or ajuvant therapy such as hyperthermochemotherapy should be done in addition to routine operations.
日本大腸肛門病学会の論文