目的 报告1例银屑病并发臀部巨大黏液腺癌治疗方法及效果。
方法 2014年2月收治1例64岁银屑病并发臀部巨大黏液腺癌男性患者。入院检查见左侧臀部肿物，大小约15 cm×10 cm，呈菜花样生长，伴大量胶冻样渗出。盆腔MRI提示左臀部皮肤区见不规则团状异常信号影，病变累及盆底双侧肛提肌及直肠后壁。分期行乙状结肠双腔造瘘术、肿瘤切除及会阴直肠肛管切除术、近端直肠闭合术以及游离植皮修复术。
结果 术后患者获随访3个月，其状态良好，植皮成活，创面愈合良好。
结论 对于银屑病并发肛周黏液腺癌，可选择腹会阴联合扩大切除术，并采用全厚皮片植皮修复肿瘤切除后的创面，可获得较好疗效。
Citation：
闫行超, 刘志刚, 刘鉴锋, 张亚楠, 邵江波, 刘凯, 刘泽强, 刘彬. 银屑病并发臀部巨大黏液腺癌一例. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(3): 391-392. doi: 10.7507/1002-1892.20150083
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Sato H, Maeda K, Maruta M, et al. Mucinous adenocarcinoma associated with chronic anal fistula reconstructed by gracilis myocutaneous flaps. Tech Coloproctol, 2006, 10(3):249-252.
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Ilbawi AM, Simianu VV, Millie M, et al. Wide local excision of perianal mucinous adenocarcinoma. J Clinical Oncology, 2014, 32:1-3.
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Diffaa A, Samlani Z, Elbahlouli A, et al. Primary anal mucinous adenocarcinoma:a case series. Arab J Gastroenterol, 2011, 12(1):48-50.
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张文俊, 江华, 朱, 等. 红皮病型银屑病伴左腹股沟区皮肤鳞癌1 例报告. 第二军医大学学报, 2008, 29(3):348, 封三.
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- 1. Schaffzin DM, Stahl TJ, Smith LE. Perianal mucinous adenocarcinoma:unusual case presentations and review of the literature. Am Surg, 2003, 69(2):166-169.
- 2. Leal RF, Ayrizono ML, Coy CS, et al. Mucinous adenocarcinoma derived from chronic perianal fistulas:report of a case and review of the literature. Tech Coloproctol, 2007, 11(2):155-157.
- 3. 吴瑶, 刘连成, 陈希琳. 慢性肛瘘继发黏液腺癌诊治分析(附4例报告). 结直肠肛门外科, 2011, 17(2):96-97.
- 4. 郑毅, 王振军. 与肛瘘相关的肛周粘液腺癌的诊治分析. 中国临床医生, 2009, 37(1):57-58.
- 5. Papapolychroniadis C, Kaimakis D, Giannoulis K, et al. A case of mucinous adenocarcinoma arising in long-standing multiple perianal and presacral fistulas. Tech Coloproctol, 2004, 8 Suppl 1:s138-s140.
- 6. Sato H, Maeda K, Maruta M, et al. Mucinous adenocarcinoma associated with chronic anal fistula reconstructed by gracilis myocutaneous flaps. Tech Coloproctol, 2006, 10(3):249-252.
- 7. Ilbawi AM, Simianu VV, Millie M, et al. Wide local excision of perianal mucinous adenocarcinoma. J Clinical Oncology, 2014, 32:1-3.
- 8. Diffaa A, Samlani Z, Elbahlouli A, et al. Primary anal mucinous adenocarcinoma:a case series. Arab J Gastroenterol, 2011, 12(1):48-50.
- 9. 张文俊, 江华, 朱, 等. 红皮病型银屑病伴左腹股沟区皮肤鳞癌1 例报告. 第二军医大学学报, 2008, 29(3):348, 封三.
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