Abstract
38 year-old woman visited another hospital because of anal pain in February 1996, who had noticed erosion around the anal area about 5 years before but had not consulted with any hospitals. The patient was referred to the department of dermatology in our hospital with a diagnosis of perianal Bowen disease on pathological study. After admission, the patient was transferred to the department because infiltration of the anal lesion into the rectal area was strongly suspected. The reasons were: (1) the lesion did not invade the dented line; (2) no lymph node metastasis, inguinal lymph node, was obtained with preoperative examination; and (3) she did not hope strongly that the rectum amputation procedure was employed. A pathological study revealed that the tumor cells did not destruct to the basal layer. There have been no signs of recurrence as of more than 2 years after the operation. The patient can have a good prognosis after operation, if surgical margin of more than 5 mm is held. Therefore, when the tumor dose not invade the dented line, we should not choice the rectum amputation procedure as possible as we can. And the local excision is the best conceivable for the purpose of definition of diagnosis and treatment.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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