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肛管直肠恶性黑色素瘤是一种少见、恶性度高、予后极为不良的肿瘤。我院肿瘤科四年来收治直肠肛管癌80例,发现二例,现报告如下: 例1,女,56岁。排便及劳累后下坠感四个月,大便表面带鲜血一个月。当地医院诊为“痔核”,行“割痔”疗法,术后大便带血逐渐加重。无腹泻,便秘及脓性便史。既往健康。肛诊:膝胸卧位,5至9点处有扁平肿物突入肠腔,距肛缘3厘米,质硬,结节状,基底约3×2.5厘米~2,可活动。肛门镜检肿物呈黑色,边界清。病理报告为肛
Anorectal malignant melanoma is a rare, highly malignant, extremely undesirable tumor. Oncology Department of our hospital received 80 cases of rectal anal canal cancer in the past four years and found two cases. The report is as follows: Example 1, female, 56 years old. Defecation and fatigue after falling for four months, the stool surface with blood for a month. The local hospital diagnosed as a “deaf nucleus” and performed “cutting lice” therapy, and bloody stools gradually increased after the operation. No diarrhea, constipation and purulent history. Past health. Anal diagnosis: Knee-chest position, 5 to 9 o’clock, flattened tumor protruding into the intestine, 3 cm from the anal margin, hard, nodular, base about 3 × 2.5 cm ~ 2, can be active. Anal microscopic examination of the tumor was black and the border was clear. Pathology report is anal