肛周管状腺癌多发转移1例报告

A Case Report of Multiple Metastases in Perianal Tubular Adenocarcinoma

摘要: 目的：了解肛周管状腺癌的临床特征及病理表现，探讨如何更好地及早诊断和治疗。方法：回顾性总结2021年我院收治的1例肛周管状腺癌患者的临床和病理资料。结果：本例患者为青年男性，以肛周包块为主要表现，术前诊断为肛瘘，术后病理提示：肛周管状腺癌，并于术后2月左右出现腹股沟淋巴结转移。结论：肛周管状腺癌非常少见，早期易误诊，病情进展较快，容易发生转移，预后较差。

Abstract: Objective: To understand the clinical characteristics and pathological manifestations of perianal tubular adenocarcinoma, and to explore how to better diagnose and treat it early. Methods: A retrospective summary was conducted on the clinical and pathological data of a patient with perianal tubular adenocarcinoma admitted to our hospital in 2021. Results: The patient in this case was a young male with perianal mass as the main manifestation. The preoperative diagnosis was anal fistula, and postoperative pathology showed perianal tubular adenocarcinoma with inguinal lymph node metastasis around 2 months after surgery. Conclusion: Perianal tubular adenocarcinoma is very rare, prone to early misdiagnosis, progresses rapidly, and is prone to metastasis, with a poor prognosis.